Original contributionOutcomes in unsuccessful field resuscitation attempts
References (27)
- et al.
Decision making in prehospital sudden cardiac arrest
Ann Emerg Med
(1986) - et al.
Termination of CPR in the prehospital arena
Ann Emerg Med
(1985) - et al.
Out-of-hospital cardiac arrest: Factors associated with survival
Ann Emerg Med
(1984) - et al.
Out-of-hospital cardiac arrest: Improved survival with paramedic services
Lancet
(1980) Evaluation of cardiac arrests managed by paramedics
JACEP
(1978)- et al.
Prognostic significance of field response in out-of-hospital ventricular fibrillation
Chest
(1985) - et al.
In-hospital resuscitation following unsuccessful prehospital advanced cardiac life support: “Heroic efforts” or an exercise in futility?
Ann Emerg Med
(1988) - et al.
Prognostic indicators of ultimate long-term survival following advanced life-support
Ann Emerg Med
(1981) - et al.
Evaluation of resuscitation from cardiopulmonary arrest by paramedics
Ann Emerg Med
(1980) - et al.
Resuscitation time in ventricular fibrillation — A prognostic indicator
Ann Emerg Med
(1983)
Prehospital cardiac rhythm deterioration in a system providing only basic life support
Ann Emerg Med
Cardiac arrest in the EMS system: Guidelines for resuscitation
JACEP
Terminating unsuccessful advanced cardiac life support in the field
Am J Emerg Med
Cited by (91)
Intravenous vs. intraosseous access and return of spontaneous circulation during out of hospital cardiac arrest
2017, American Journal of Emergency MedicineRe-examining outcomes after unsuccessful out-of-hospital resuscitation in the era of field termination of resuscitation guidelines and regionalized post-resuscitation care
2014, ResuscitationCitation Excerpt :A witnessed collapse, bystander CPR, a shockable arrest rhythm, a brief down time (i.e. time from collapse to restoration of circulation), and ROSC prior to emergency department admission portend a favorable outcome. Dismal prognosis after failed out-of-hospital resuscitation and extended resuscitation efforts in the emergency department has been demonstrated.2–6 Even if emergency department efforts are successful, survival to hospital admission and survival to discharge with a good neurologic outcome, typically defined as an overall cerebral performance category score of 1–2, is unlikely.
Medical futility
2013, Handbook of Clinical NeurologyValidation of 3 Termination of Resuscitation Criteria for Good Neurologic Survival After Out-of-Hospital Cardiac Arrest
2009, Annals of Emergency MedicineCitation Excerpt :Other factors independently associated with survival include the patient's age,4 the location of the arrest,5 an arrest witnessed by bystanders or EMS personnel,6 and return of spontaneous circulation before transport by paramedics.7 Conversely, patients with an initial arrest rhythm of asystole, pulseless electrical activity, or failure to respond to either basic life support (BLS) or advanced life support (ALS) in the out-of-hospital setting have uniformly dismal outcomes.3,8,9 Considering the incidence of out-of-hospital cardiac arrest and the resources used to treat these patients, a set of criteria to predict good neurologic survival to hospital discharge would be extremely useful.
Evaluation of the Outcome of Out-of-Hospital Cardiac Arrest Resuscitation Efforts in Denizli, Turkey
2008, Journal of Emergency MedicineTransport with ongoing cardiopulmonary resuscitation may not be futile
2008, British Journal of AnaesthesiaCitation Excerpt :In most reports on CPR during transport, EMS systems without out-of-hospital physicians are described. A major contributing difference to the system in our report is the physician's decision to terminate resuscitation efforts, which is not the case in most systems.1 2 4–7 14 19–21 The reasons why the emergency physician decided to transport the patient instead of aborting CPR efforts were not documented.
Presented at the Fourth Annual Meeting of the National Association of EMS Physicians, Washington, DC, June 1988.