Key result
OHCA survival remains stagnant at ~8% over 30 years despite updated management guidelines.
Why the study?
Survival rates after out-of-hospital cardiac arrest have remained stagnant at 7.6% for over 30 years despite guideline updates, motivating evaluation of management improvements.
Neither intervention improved functional survival; reinforces high-quality CPR focus and challenges prior timing/device recommendations.
Out-of hospital cardiac arrest accounts for more than 330,000 deaths annually in the United States and Canada. Despite regular updates of guidelines for the management of these arrests, the rate of survival has been stagnant at 7.6% for more than 30 years.1,2 In this issue of the Journal, the Resuscitation Outcomes Consortium reports the results of two randomized comparisons3,4 from the Prehospital Resuscitation Impedance Valve and Early Versus Delayed Analysis (ROC PRIMED) trial (ClinicalTrials.gov number, NCT00394706), which evaluated potential improvements in the management of out-of hospital cardiac arrest.The first component of the ROC PRIMED trial compared two . . .
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Arthur B. Sanders (2011) conducted an editorial in Out-of-hospital cardiac arrest. Despite regular updates to management guidelines, the survival rate for out-of-hospital cardiac arrest in the United States and Canada has remained stagnant at 7.6% for more than 30 years.
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