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This Article Full Text Full Text (PDF) Take the CME quiz: Vol. 20 No. 1, July 2008 Submit a response Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to My File Cabinet Download to citation manager Citing Articles Citing Articles via CrossRef Google Scholar Articles by Larsen, G. PubMed Articles by Larsen, G.

AAP Grand Rounds 20:4 (2008)
© 2008 American Academy of Pediatrics

Terminating Resuscitation for Cardiac Arrests Outside of the Hospital

The first 20% of the full text of this article appears below.

PICO Question: Among adults with out-of-hospital cardiac arrest, how many are transported to hospitals despite meeting criteria for termination of resuscitation? Question type: Prognosis Study design: Case series

 

The authors, from Yale-New Haven Medical Center in New Haven, CT, performed a retrospective review of all adult out-of-hospital cardiac arrest (OOHCA) patients transported to two emergency departments (ED) during a 3.5-year interval to determine how often patients were transported despite meeting termination-of-resuscitation (TOR) protocols for traumatic and nontraumatic OOHCA.

Emergency Medical Services (EMS) and ED records were evaluated to assess for the presence of TOR protocol criteria and to determine whether the patients should have been transported or pronounced dead on the scene. Records were also examined for extenuating circumstances that may have prompted the transport despite meeting TOR criteria. The outcome measures were survival to discharge from the hospital and survival . . . [Full Text of this Article]

Gitte Larsen, MD, MPH, FAAP

Pediatric Critical Care, University of Utah, Salt Lake City, UT