Cover: Improving Cardiac Resuscitation

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 January 01, 2010

by Arthur L. Kellermann

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.

This report is part of the RAND Corporation External publication series. Many RAND studies are published in peer-reviewed scholarly journals, as chapters in commercial books, or as documents published by other organizations.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.