The findings of this large cohort study suggest that endotracheal intubation (ETI) in pediatric out-of-hospital cardiac arrest (OHCA), although performed by trained physicians, is associated with a worse outcome, regardless of traumatic or non-traumatic aetiology.

This was a retrospective, observational, multicentre, registry-based study conducted from July 2011 to March 2018.

Of 1,579 children, 1,355 (85.8%) received ETI and 224 (14.2%) received supraglottic ventilation during CPR.

We observe a lower 30-day survival in the ETI group compared to the supraglottic group, and also a poorer neurological outcome.

However, we did not identify any significant association between airway management strategy and return of spontaneous circulation.

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