{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T15:43:02Z","timestamp":1785426182102,"version":"3.56.0"},"reference-count":19,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T00:00:00Z","timestamp":1784851200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100008678","name":"Leipzig University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100008678","id-type":"DOI","asserted-by":"crossref"}]},{"id":[{"id":"https:\/\/ror.org\/03s7gtk40","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Background: Implementing recommendations to improve in-hospital resuscitation is a complex process. The extent to which an advisory statement formulating ten theses to improve resuscitation quality in paediatrics is applied in clinical practice across Germany, Austria, and Switzerland (D-A-CH-region) remains unclear. Methods: A web-based cross-sectional survey was conducted among paediatric physicians in the D-A-CH region between November 2022 and May 2023, comprising 50 questions focusing on experience and safety in paediatric emergency management and on the structural conditions at hospitals required to implement the ten theses. Ethics approval was obtained from the Ethics Committee Leipzig, Germany (218\/19-ek). Results: Structural recommendations were implemented to varying and often limited degrees: An emergency telephone chain was available in 91% of workplaces, 19% had a Paediatric Early Warning System, and 38% had a designated resuscitation supervisor. Although in-house training was available to 89% of respondents, 31% had not participated in in-house training in the preceding 12 months, and 37% had not attended a certified resuscitation course in the last five years. A total of 48% of respondents reported that structured debriefings following emergency events were rarely or never conducted. Internal guidelines for post-resuscitation care were available in 26% of institutions. Only seven respondents (less than 1%) worked in a setting where all the recommendations surveyed were in place. No significant differences were observed according to hospital size or type. Conclusions: Structural implementation of paediatric resuscitation recommendations remains markedly inadequate across the D-A-CH region, with likely multifactorial causes that are not yet fully understood.<\/jats:p>","DOI":"10.3390\/children13080986","type":"journal-article","created":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T13:53:26Z","timestamp":1784901206000},"page":"986","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Implementation of Paediatric Life Support Recommendations: A Survey in the D-A-CH Region"],"prefix":"10.3390","volume":"13","author":[{"given":"Franziska","family":"Markel","sequence":"first","affiliation":[{"name":"Department of Psychocardiology, Department of Developmental Pediatrics, Deutsches Herzzentrum der Charit\u00e9 (DHZC), Charit\u00e9\u2013Universit\u00e4tsmedizin Berlin, 13353 Berlin, Germany"},{"name":"Department of Congenital Heart Disease\u2013Pediatric Cardiology, Deutsches Herzzentrum der Charit\u00e9 (DHZC), Charit\u00e9\u2013Universit\u00e4tsmedizin Berlin, 13353 Berlin, Germany"},{"name":"Charit\u00e9\u2013Universit\u00e4tsmedizin Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt-Universit\u00e4t zu Berlin, 10117 Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bettina","family":"L\u00fcck","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Department of Women\u2019s and Children\u2019s Medicine, Medical Faculty, Leipzig University, 04103 Leipzig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Sasse","sequence":"additional","affiliation":[{"name":"Department of Paediatric Cardiology and Intensive Care Medicine, Hannover Medical School (MHH), 30625 Hannover, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philipp","family":"Jung","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Staedtisches Klinikum Lueneburg, 21339 Lueneburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florian","family":"Hoffmann","sequence":"additional","affiliation":[{"name":"Department of Pediatric Intensive and Emergency Care, Dr. Von Hauner Children\u2019s Hospital, LMU University Hospital, LMU Munich, 80337 Munich, Germany"},{"name":"Department of Paediatric and Adolescent Medicine, Klinikum Dritter Orden M\u00fcnchen-Nymphenburg, 80638 Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2330-5216","authenticated-orcid":false,"given":"Ellen","family":"Heimberg","sequence":"additional","affiliation":[{"name":"Department of Paediatric Cardiology, Pulmonology and Intensive Care Medicine, University Children\u2019s Hospital Tuebingen, 72076 Tuebingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Olivieri","sequence":"additional","affiliation":[{"name":"Department of Pediatric Intensive and Emergency Care, Dr. Von Hauner Children\u2019s Hospital, LMU University Hospital, LMU Munich, 80337 Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Brenner","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Pediatric Emergency and Intensive Care Medicine, University Hospital Carl Gustav Carus Dresden, Technische Universit\u00e4t Dresden, 01307 Dresden, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7939-318X","authenticated-orcid":false,"given":"Bernd","family":"Landsleitner","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care Medicine, Cnopf Chidren\u2019s Hospital, Hospital Hallerwiese, 90419 Nuremberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9993-617X","authenticated-orcid":false,"given":"Francesco","family":"Cardona","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Pediatric Intensive Care and Neuropediatrics, Department of Pediatrics and Adolescent Medicine, Medical University of Vienna, 1090 Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva Maria","family":"Jordi-Ritz","sequence":"additional","affiliation":[{"name":"Department of Paediatric Anaesthesia, University Children\u2019s Hospital Basel (UKBB), 4056 Basel, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0836-7176","authenticated-orcid":false,"given":"Benjamin W.","family":"Ackermann","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Department of Women\u2019s and Children\u2019s Medicine, Medical Faculty, Leipzig University, 04103 Leipzig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,7,24]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"110767","DOI":"10.1016\/j.resuscitation.2025.110767","article-title":"Paediatric Life Support","volume":"5","author":"Djakow","year":"2025","journal-title":"Resuscitation"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"S140","DOI":"10.1161\/CIR.0000000000000894","article-title":"Pediatric Life Support: 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations","volume":"142","author":"Maconochie","year":"2020","journal-title":"Circulation"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"S469","DOI":"10.1161\/CIR.0000000000000901","article-title":"Part 4: Pediatric Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary 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Educ."}],"container-title":["Children"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2227-9067\/13\/8\/986\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T04:27:15Z","timestamp":1785040035000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2227-9067\/13\/8\/986"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,24]]},"references-count":19,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2026,8]]}},"alternative-id":["children13080986"],"URL":"https:\/\/doi.org\/10.3390\/children13080986","relation":{},"ISSN":["2227-9067"],"issn-type":[{"value":"2227-9067","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,24]]}}}