**4.8 Rehabilitation**

Rehabilitation following cardiac arrest is vital. Children surviving cardiac arrest are at risk for alterations in their quality of life from physical, cognitive, and emotional disabilities. They are at risk for significant declines in neurobehavioral function across multiple functional domains [115]. There is also evidence that postcardiac arrest patients are at risk for developing delirium [116]. There is little data on specific interventions during PCAC that will improve functional outcomes in children after cardiac arrest. More information is needed to identify specific rehabilitation interventions that can be used in PCAC that will improve outcomes for pediatric post-cardiac arrest patients [102].

#### **4.9 Summary**

To summarize, how we care for pediatric patients post successful ROSC after cardiac arrest critically influences their outcomes. Each component of post-cardiac arrest care requires focused management. This care is highly complex and time sensitive. Despite knowing how crucial this management is to the outcomes of patients post-cardiac arrest, significant gaps in knowledge remain. More work is needed to identify the most efficient approaches to provide this care for pediatric patients.
