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(2010)
Part 9: Post-Cardiac Arrest Care: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care
C. Deasy, S. Bernard, P. Cameron, I. Jacobs, Karen Smith, Cindy Hein, H. Grantham, J. Finn (2011)
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Opinion Editorials represent the opinions of the authors and JAMA EDITORIAL and not those of the American Medical Association. Randomized Clinical Trial Progress to Inform Care for Out-of-Hospital Cardiac Arrest Christopher B. Granger, MD; Lance B. Becker, MD Approximately300000patientsexperienceout-of-hospitalcar- cal trials of cardiac arrest, particularly in the out-of-hospital set- diac arrest per year in the United States, and less than 10% sur- ting, are enormously challenging, because of the need both to vive to hospital discharge. Regional heterogeneity in out- follow procedures involving authorization for waiver of in- comes, with a 5-fold greater formed consent and to conduct trials in the underresourced and likelihood of survival follow- fragmented environment of EMS. ing ventricular fibrillation It is in this context that the trial by Kim and colleagues is Related article page 45 arrest in Seattle, Washington, an important contribution. A total of 1359 patients, which is 7,8 than in counties in Alabama, has underscored the opportunity more than 3 times as many as in the prior trials combined, to improve care. National programs that define best practice with out-of-hospital cardiac arrest (583 with VF and 776 with- around community, emergency medical services (EMS), and out VF) were randomly assigned to
JAMA – American Medical Association
Published: Jan 1, 2014
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