Improving outcome in out-of-hospital cardiac arrest: impact of bystander cardiopulmonary resuscitation and prehospital physician care

Evidence for the impact of prehospital, physician-delivered advanced cardiac life support (ACLS) on survival from out-of-hospital cardiac arrest is conflicting. The prospective observational study by Yasunaga and co-workers demonstrates an improved survival at 1 month associated with prehospital phy...

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Bibliographic Details
Published in:Critical care (London, England) England), 2011-01, Vol.15 (1), p.101-101
Main Authors: Jackson, Robert J H, Nolan, Jerry P
Format: Article
Language:English
Subjects:
Advanced Cardiac Life Support - mortality
Cardiopulmonary Resuscitation - mortality
Cooperative Behavior
Female
Humans
Male
Out-of-Hospital Cardiac Arrest - mortality
Out-of-Hospital Cardiac Arrest - therapy
Physicians
Population Surveillance
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Summary:Evidence for the impact of prehospital, physician-delivered advanced cardiac life support (ACLS) on survival from out-of-hospital cardiac arrest is conflicting. The prospective observational study by Yasunaga and co-workers demonstrates an improved survival at 1 month associated with prehospital physician-delivered ACLS over emergency life-saving technician-delivered ACLS. These effects are additive to the survival benefit seen with bystander-initiated cardiopulmonary resuscitation (BCPR) compared with no BCPR. The present commentary places these findings in the context of the existing literature and discusses some of the unresolved controversies.
ISSN:1364-8535
1466-609X
DOI:10.1186/cc9356