Improving Cardiac Resuscitation

Evolution or Revolution?

Published in: Annals of Emergency Medicine, v. 56, no. 4, Oct. 2010, p. 358-361

Posted on RAND.org on December 31, 2009

by Arthur L. Kellermann

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This article argues that paramedics need to "unlearn" decades of training that endotracheal intubation and positive-pressure ventilation are top priorities in out-of-hospital cardiac arrest treatment. Instead, they should implement a "bundle" of proven and highly promising interventions, all delivered within a short time frame. These include rapid handling of 911 calls, prompt initiation of bystander CPR, strategically placed public access AEDs, and minimally interrupted cardiac resuscitation. This revolution in cardiac resuscitation could save thousands of lives every year.

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