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Advancing resuscitation science
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DOI：10.1097/MCC.0b013e328352c702.png)
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Purpose of review To describe an alternative approach for improving survival of patients with out-of-hospital cardiac arrest (OHCA). The survival of patients with OHCA has been poor and relatively unchanged for decades in spite of recurrent national and international guidelines. Although there are exceptions, many thought and continue to think that any change in the guidelines for cardiopulmonary resuscitation should be based on randomized controlled trials in humans. However, many factors, including the need for informed consent, the marked variability of patients, and the variability of the type and quality of bystander and advanced resuscitation efforts, all make such studies problematic. Thus, potentially life-saving procedures are often withheld for decades, resulting in unnecessary loss of life. Recent findings Many improvements in public health conditions have been made using models of continuous quality improvement. When applied to resuscitation science, once baseline data are obtained, changes based on reliable experimental findings are instituted and outcomes measured. This approach has now been shown to result in significant improvement in neurologically intact survival of patients with OHCA. Summary Following this model, we found significant improvement in survival of patients with a witnessed OHCA primary cardiac arrest.
Keyword:
cardiac arrest
cardiocerebral resuscitation
cardiopulmonary resuscitation
chest compression only
resuscitation
ventricular fibrillation
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Gasping During Cardiac Arrest in Humans Is Frequent and Associated With Improved Survival.png)
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CIRCULATIONIF38.6
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