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Pediatrics
Concurrent

Demystifying Neuroprognostication After Pediatric Cardiac Arrest

Sunday, March 22, 2026
3:15 PM - 4:15 PM Central Time
Location: W185

Predicting outcomes after pediatric cardiac arrest is challenging. This session will explore the current evidence for predicting good versus poor outcomes after pediatric cardiac arrest. Speakers will build on American Heart Association and International Liaison Committee on Resuscitation statements on neuroprognostication in discussing the evolving role of advanced neuromonitoring, neuroimaging, EEG, biomarkers, and the neurologic examination in assessing brain injury. Nuanced approaches to prognosis will be highlighted, emphasizing the importance of tailoring strategies to children of different ages and varying preexisting chronic conditions. Speakers will focus on communication with families, including delivering prognoses and the inherent uncertainties in predicting post-arrest outcome. Speakers will also explore ethical and practical considerations of diagnosing brain death in this context. Perspectives on global variations in outcome prediction will be featured, reflecting disparities in resources, expertise, and cultural contexts. This session will encourage equitable and evidence-based approaches to neuroprognostication worldwide.

Learning Objectives:

  • Identify potential factors to include in multimodality prediction of favorable and unfavorable neurologic outcomes after pediatric cardiac arrest
  • Develop strategies for communicating outcome prediction and prognostic uncertainty to families in a compassionate and culturally sensitive manner after pediatric cardiac arrest
  • Explore varying neuroprognostication practices across the world and recognize strategies for addressing disparities in post-arrest care and prognostication accuracy

Presentations:

  • 3:20 PM - 3:29 PM Central Time
    From Pixels to Prognosis: Leveraging Neuroimaging and Neuromonitoring in Pediatric Cardiac Arrest Outcome Prediction

    Matthew Kirschen, MD, PhD (he/him/his) – Childrens Hospital of Philadelphia

  • 3:29 PM - 3:38 PM Central Time
    Biomarkers for Predicting Outcomes After Pediatric Cardiac Arrest

    Ericka Fink, MD, FCCM – UPMC Children's Hospital of Pittsburgh

  • 3:38 PM - 3:47 PM Central Time
    Improving Prognostic Accuracy Using Multimodality Models After Pediatric Cardiac Arrest

    Hugues Yver, MD (he/him/his) – UPMC Children's Hospital of Pittsburgh

  • 3:47 PM - 3:56 PM Central Time
    Neuroprognostication Across Diverse Health Systems Worldwide

    maayke hunfeld, PhD (she/her/hers)

  • 3:56 PM - 4:05 PM Central Time
    Balancing Hope and Honesty: Communicating Prognostic Uncertainty After Pediatric Cardiac Arrest

    Wynne Morrison, MD, MBE, FCCM – Childrens Hospital of Philadelphia