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dc.contributor.authorMarsden, Andrew
dc.contributor.authorNg, Andre
dc.contributor.authorDalziel, Kirsty
dc.contributor.authorCobbe, Stuart
dc.date.accessioned2021-07-26T13:29:46Z
dc.date.available2021-07-26T13:29:46Z
dc.date.issued1995-07-01
dc.identifier.citationMarsden, A. K., et al, 1995. When is it futile for ambulance personnel to initiate cardiopulmonary resuscitation? BMJ, 311 (6996), 49-51.en_US
dc.identifier.issn0959-8138
dc.identifier.issn1756-1833
dc.identifier.doi10.1136/bmj.311.6996.49
dc.identifier.urihttp://hdl.handle.net/20.500.12417/1138
dc.description.abstractObjective: To determine whether patients with unexpected prehospital cardiac arrest could be identified in whom ambulance resuscitation attempts would be futile. Design: Review of ambulance and hospital records; detailed review of automated external defibrillator rhythm strips of patients in whom no shock was advised. Setting: Scottish Ambulance Service; all cardiopulmonary resuscitation attempts after cardiorespiratory arrest during 1988-94 included in the Heartstart Scotland database. Subject: 414 cardiorespiratory arrest patients with no pulse or breathing on arrival of ambulance personnel, no bystander cardiopulmonary resuscitation performed, and more than 15 minutes from time of arrest to arrival of ambulance. Patients were stratified into those with "shockable" and "non-shockable" rhythms. Main outcome measures: Return of spontaneous circulation, or survival to reach hospital alive, or survival to discharge, or all three. Results: No patient with a non-shockable rhythm who met the entry criteria for analysis survived a resuscitation attempt. Review of the defibrillator rhythm strips of these patients failed to find any case in which the tracing was deemed compatible with survival. Conclusion: On the basis that it would be inappropriate to initiate vigorous resuscitation in patients who can be identified as "dead" and beyond help an algorithm was prepared to guide ambulance personnel. https://www.bmj.com/content/311/6996/49.long. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ DOI http://dx.doi.org/10.1136/bmj.311.6996.49
dc.language.isoenen_US
dc.subjectEmergency Medical Servicesen_US
dc.subjectCardiopulmonary Resuscitationen_US
dc.subjectOut-of-Hospital Cardiac Arrest (OHCA)en_US
dc.subjectPre-hospital Careen_US
dc.subjectWithholding Treatmenten_US
dc.titleWhen is it futile for ambulance personnel to initiate cardiopulmonary resuscitation?en_US
dc.source.journaltitleBMJen_US
rioxxterms.versionNAen_US
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden_US
rioxxterms.licenseref.startdate2021-07-20
rioxxterms.typeJournal Article/Reviewen_US
refterms.panelUnspecifieden_US
refterms.dateFirstOnline1995-07-01
html.description.abstractObjective: To determine whether patients with unexpected prehospital cardiac arrest could be identified in whom ambulance resuscitation attempts would be futile. Design: Review of ambulance and hospital records; detailed review of automated external defibrillator rhythm strips of patients in whom no shock was advised. Setting: Scottish Ambulance Service; all cardiopulmonary resuscitation attempts after cardiorespiratory arrest during 1988-94 included in the Heartstart Scotland database. Subject: 414 cardiorespiratory arrest patients with no pulse or breathing on arrival of ambulance personnel, no bystander cardiopulmonary resuscitation performed, and more than 15 minutes from time of arrest to arrival of ambulance. Patients were stratified into those with "shockable" and "non-shockable" rhythms. Main outcome measures: Return of spontaneous circulation, or survival to reach hospital alive, or survival to discharge, or all three. Results: No patient with a non-shockable rhythm who met the entry criteria for analysis survived a resuscitation attempt. Review of the defibrillator rhythm strips of these patients failed to find any case in which the tracing was deemed compatible with survival. Conclusion: On the basis that it would be inappropriate to initiate vigorous resuscitation in patients who can be identified as "dead" and beyond help an algorithm was prepared to guide ambulance personnel. https://www.bmj.com/content/311/6996/49.long. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ DOI http://dx.doi.org/10.1136/bmj.311.6996.49en_US


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