Raymond TT, et al. - In this retrospective analysis, researchers assessed the difference in hospital rates of delayed epinephrine administration in pediatric patients (less than 18 years old) with nonshockable in-hospital cardiac arrest. They also investigated how event, 24-hour, and overall survival to hospital discharge were influenced by those rates. Findings revealed a significant variation in delayed epinephrine administration after pediatric nonshockable in-hospital cardiac arrest between hospitals. After adjusting for multiple patient- and hospital-level factors, worse patient- and hospital-level outcomes were reported for hospitals with higher rates of delayed epinephrine administration. Delayed epinephrine administration was suggested to possibly directly contribute to raised death risk and/or it could be a marker of unmeasured elements of hospital resuscitation performance.