JAMA. 1979 May 04;241(18):1905-7. doi: 10.1001/jama.241.18.1905.

Cardiac resuscitation in the community. Importance of rapid provision and implications for program planning.

JAMA

M S Eisenberg, L Bergner, A Hallstrom

PMID: 430772 DOI: 10.1001/jama.241.18.1905

Abstract

Several time-related variables involving resuscitation from out-of-hospital cardiac arrest were studied. Short time intervals from collapse to initiation of cardiopulmonary resuscitation (CPR) and to provision of definitive care were significantly associated with survival from cardiac arrest. The two times were jointly related, and one short time without the other was unlikely to result in survival. If CPR was initiated within four minutes and if definitive care was provided within eight minutes, 43% of patients survived. If either time was exceeded, the changes of survival fell dramatically. The time to initiation of CPR and definitive care are factors directly influenced by emergency medical service program decisions. A realistic option to improve time to initiation of CPR is widespread citizen CPR training. A possible option to improve the time to definitive care is the training of emergency medical technicians in defibrillation.

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MeSH terms

• Community Health Services / organization & administration
• Emergency Medical Services / organization & administration
• Health Planning
• Heart Arrest / mortality
• Heart Arrest / therapy
• Humans
• Resuscitation*
• Time Factors
• Washington

Publication Types

• Journal Article
• Research Support, U.S. Gov't, P.H.S.

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