Factors influencing hospital transport of patients in continuing cardiac arrest

Annals of Emergency Medicine
J L HickM Lappe

Abstract

Prior research has established the futility of continued resuscitation efforts for patients in cardiac arrest who fail to respond to out-of-hospital advanced cardiac life support. Determination of both medical and nonmedical factors resulting in the transport of patients in continuing cardiac arrest to the hospital may encourage the development of new systems or strategies to increase the appropriateness of these transports. The attending paramedic completed a prospective survey after unsuccessful resuscitation efforts in our urban, hospital-based, two-tier emergency medical services (EMS) system. All nontraumatic adult arrests were included unless they were clearly noncardiac in nature. Paramedics responded to 259 cardiac arrests between September 12, 1996, and April 31, 1997. Seventy-nine patients were pronounced dead without resuscitation efforts. Of the remaining 180 patients, 44 had return of spontaneous circulation and were transported to the hospital, 68 were pronounced dead in the field, and 68 were transported to the hospital in continuing cardiac arrest. The 68 patients transported while in cardiac arrest are the focus of this study. Rare problems with field termination were identified. Reasons for transport of the 68...Continue Reading

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Citations

Mar 8, 2007·Intensive Care Medicine·David BraccoThomas M Hemmerling
Jan 30, 2003·The Journal of Emergency Medicine·Catherine A Marco, Raquel M Schears
Aug 4, 2006·The New England Journal of Medicine·Laurie J MorrisonUNKNOWN TOR Investigators
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Aug 21, 2019·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Ulf AnderssonHenrik Andersson
May 6, 2016·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Natalie E AndersonJulia Slark
Oct 19, 2002·Current Opinion in Critical Care·Gregory Luke Larkin

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