Improving outcome in out-of-hospital cardiac arrest: impact of bystander cardiopulmonary resuscitation and prehospital physician care

被引：0
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作者：
Robert JH Jackson
Jerry P Nolan
机构：
[1] Intensive Care Medicine,
[2] Royal United Hospital NHS Trust,undefined
[3] Anaesthesia and Intensive Care Medicine,undefined
[4] Royal United Hospital NHS Trust,undefined
来源：
Critical Care | / 15卷
关键词：
Cardiac Arrest; Emergency Medical Service; Cerebral Performance Category; Good Neurological Outcome; Advanced Cardiac Life Support;
D O I：
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摘要：
Evidence for the impact of prehospital, physician-delivered advanced cardiac life support (ACLS) on survival from out-of-hospital cardiac arrest is conflicting. The prospective observational study by Yasunaga and co-workers demonstrates an improved survival at 1 month associated with prehospital physician-delivered ACLS over emergency life-saving technician-delivered ACLS. These effects are additive to the survival benefit seen with bystander-initiated cardiopulmonary resuscitation (BCPR) compared with no BCPR. The present commentary places these findings in the context of the existing literature and discusses some of the unresolved controversies.
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