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Clinical Research
 
DOI:
Continuation of cardiopulmonary resuscitation in a Chinese hospital after unsuccessful EMS resuscitation
Xiao-Bo Yang, Yan Zhao,Fei Wang.J Geriatr Cardiol 2009,6(3):142~146
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Authors:Xiao-Bo Yang, Yan Zhao1;Fei Wang2

Author Affiliation:1.Emergency Department, Zhongnan Hospital of Wuhan University, Wuhan 430071, China;2.Wuhan Center for Medical Emergency, Wuhan 430000, China

Foundation:

Abstract: Objective To evaluate the efficacy of the continuation of cardiopulmonary resuscitation (CPR) following transportation to the emergency department in a Chinese hospital after unsuccessful emergency medical services (EMS) CPR. Methods From January 2002 to December 2007, emergency records of non-traumatic patients who were transported to a tertiary teaching hospital after unsuccessful EMS CPR were reviewed. Results Eigty-five patients were included, and 13 patients (15%) accomplished restoration of spontaneous circulation in our emergency department. Resuscitative possibility reached zero at around 23 minutes. One patient was discharged with a favourable neurologic outcome. Conclusions This study shows that the continuation of CPR is not futile and may improve outcomes. The outcomes should be re-evaluated in the future when prehospital information can be combined with in-hospital information.

Keywords:

cardiac arrest, cardiopulmonary resuscitation (CPR), emergency medical services (EMS), advanced cardiac life support (ACLS)
          Published Online:September 28, 2009
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