Sado J, et al. - In order to prevent sports-related pediatric out-of-hospital cardiac arrest (OHCA) at schools, Children at schools in Japan were assessed for characteristics and outcomes of sports-related OHCA. Researchers performed the Stop and Prevent cardIac aRrest, Injury, and Trauma in Schools (SPIRITS), a nationwide, prospective, observational study linking databases of two nationally representative registries, identifying 188 sports-related pediatric OHCAs due to presumed cardiac origin at schools during the 8-year period. They noted the greatest proportion of OHCA during or after sports due to long-distance running (21.8%), followed by soccer/futsal (13.3%), basketball (12.2%), and baseball/rubber-ball baseball (11.2%). Findings highlight the necessity for increasing public-access defibrillation (PAD) to heighten better neurological outcome after sports-related OHCA among students.