Circulation, Vol 56, 901-905, Copyright © 1977 by American Heart Association
DP Copley, JA Mantle, WJ Rogers, RO Russell Jr and CE Rackley
Despite the development of trained mobile rescue squads, cardiopulmonary
collapse outside the hospital continues to carry a poor prognosis. We
examined retrospectively the clinical courses of 19 consecutive coronary
unit patients who had experienced prehospital cardiopulmonary
resuscitation. Seven patients received basic life support from bystanders
within five minutes. Cardiopulmonary resuscitation in the other 12 patients
was delayed beyond five minutes pending the arrival of rescue personnel.
Six of seven early- resuscitated patients survived compared with six of 12
late- resuscitated patients (P less than 0.01). The early-resuscitated
patients were more alert on admission and had lower pulmonary pressures and
higher cardiac outputs compared to the late-resuscitated patients. The
early-resuscitated patients also had less residual central nervous system
and myocardial damage on discharge than the late-resuscitated patients. On
follow-up, three early-resuscitated patients had returned to full-time work
compared with none in the late group. Training laymen to initiate early
basic life support can benefit the cardiopulmonary collapse victim.
ARTICLES
Improved outcome for prehospital cardiopulmonary collapse with resuscitation by bystanders
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