{"id":355,"date":"2012-08-14T13:14:37","date_gmt":"2012-08-14T17:14:37","guid":{"rendered":"http:\/\/emeddoc.org\/?p=355"},"modified":"2012-08-14T14:26:11","modified_gmt":"2012-08-14T18:26:11","slug":"cardiac-arrest-survival-is-rare-without-prehospital-return-of-spontaneous-circulation","status":"publish","type":"post","link":"https:\/\/emeddoc.org\/?p=355","title":{"rendered":"Cardiac Arrest Survival Is Rare without Prehospital Return of Spontaneous Circulation"},"content":{"rendered":"<p>Wow. This is the third one, after 2 articles that showed Epi in\u00a0prehospital really does not decrease mortality , now this retrospective study\u00a0presenteddata\u00a0that none of patients with asystole and no <!--more-->ROSC in field survived to hospital discharge. 2483 patients evaluated. Overall survival to discharge was 6.6 %. among all patients 36 % had ROSC in field. Survival with field ROSC 17%, and without field ROSC 0.69% (11 of 1,589). Of the 11 survivors transported prior to field ROSC, nine received defibrillation by EMS. <strong><span style=\"color: #ff0000;\">No asystolic patient survived to hospital discharge without field ROSC.<\/span><\/strong><br \/>\nConclusion:\u00a0 Survival to hospital discharge after OHCA is rare without field ROSC. Resuscitation efforts should focus on achieving field ROSC.<\/p>\n<p><span style=\"font-size: xx-small; font-family: Palatino-Roman;\"><span style=\"font-size: xx-small; font-family: Palatino-Roman;\"><a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/22834854\">Link to article<\/a>\u00a0<\/span><\/span><\/p>\n<p><span style=\"font-size: xx-small; font-family: Palatino-Roman;\"><span style=\"font-size: xx-small; font-family: Palatino-Roman;\">\u00a0<\/span><\/span><\/p>\n<p><span style=\"font-size: xx-small; font-family: Palatino-Roman;\"><span style=\"font-size: xx-small; font-family: Palatino-Roman;\">\u00a0<\/span><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Wow. This is the third one, after 2 articles that showed Epi in\u00a0prehospital really does not decrease mortality , now this retrospective study\u00a0presenteddata\u00a0that none of patients with asystole and no<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[17,15,16],"tags":[],"class_list":["post-355","post","type-post","status-publish","format-standard","hentry","category-cardiac-arrest","category-pgy3","category-pgy4"],"_links":{"self":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts\/355","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=355"}],"version-history":[{"count":5,"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts\/355\/revisions"}],"predecessor-version":[{"id":357,"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts\/355\/revisions\/357"}],"wp:attachment":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=355"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=355"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=355"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}