Wasted breath: dispatcher-assisted CPR in out-of-hospital cardiac arrest meets cardio-cerebral resuscitation.

摘要

Not news to readers of Resuscitation, out of hospital cardiopulmonary resuscitation (CPR) has dismal survival rates, ranging from 6.7% to 8.4%. Worse yet, despite the institution of tiered emergency response medical systems and CPR training of the public, this rate has not changed markedly in 30 years. Despite these discouraging trends, the 2005 CPR guideline revisions offer hope of better outcomes because they address a flaw in the fundamental approach to resuscitation, namely that perfu-sion and oxygenation had equal credibility in the post arrest period. These revised guidelines now put the emphasis of effort on chest compressions in order to augment cardiac and cerebral perfusion.