2025 Korean Pediatric ACLS Guidelines: Airway, Hemodynamic Targets, and Neuroprotection Revised

Updated Korean pediatric resuscitation guidelines favor bag-mask ventilation over intubation in out-of-hospital arrest. New diastolic BP targets: ≥25 mmHg (infants), ≥30 mmHg (children ≥1 yr). ECPR limited to resourced centers for in-hospital arrest.

• Guideline update (not a primary study) covering airway strategy, physiologic resuscitation targets, post-arrest hemodynamics, neuroprognostication, and extracorporeal CPR for pediatric patients.
• Age-adjusted ventilation rates proposed for advanced airway: 30/min (<1 yr), 20–30/min (1–8 yr), 10–20/min (8–18 yr); post-ROSC systolic BP should exceed age-specific 10th percentile in the first 6 hours.
• Neuroprognostication should be multimodal (serial exam, EEG up to 72 h, CT <24 h, MRI 72 h–2 weeks, lactate, pupils); ECPR evidence remains insufficient for out-of-hospital use — applicability outside Korea requires local validation.

RadPigeon summaries are original and for information only. They are not clinical advice.