Mar 13, 2008

Minimally interrupted cardiac resuscitation by emergency medical services for out-of-hospital cardiac arrest

JAMA : the Journal of the American Medical Association
Bentley J BobrowKarl B Kern

Abstract

Out-of-hospital cardiac arrest is a major public health problem. To investigate whether the survival of patients with out-of-hospital cardiac arrest would improve with minimally interrupted cardiac resuscitation (MICR), an alternate emergency medical services (EMS) protocol. A prospective study of survival-to-hospital discharge between January 1, 2005, and November 22, 2007. Patients with out-of-hospital cardiac arrests in 2 metropolitan cities in Arizona before and after MICR training of fire department emergency medical personnel were assessed. In a second analysis of protocol compliance, patients from the 2 metropolitan cities and 60 additional fire departments in Arizona who actually received MICR were compared with patients who did not receive MICR but received standard advanced life support. Instruction for EMS personnel in MICR, an approach that includes an initial series of 200 uninterrupted chest compressions, rhythm analysis with a single shock, 200 immediate postshock chest compressions before pulse check or rhythm reanalysis, early administration of epinephrine, and delayed endotracheal intubation. Survival-to-hospital discharge. Among the 886 patients in the 2 metropolitan cities, survival-to-hospital discharge inc...Continue Reading

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Mentioned in this Paper

Ventricular Fibrillation
Treatment Protocols
Alveolar Ventilation Function
Emergency Medicine (Field)
Circulatory System
Lung
Emergency Care
Brain
Cell Respiration
Myocardium

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