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European Heart Journal 1989 10(6):555-557;
Copyright © 1989 by the European Society of Cardiology.
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© 1989 The European Society of Cardiology

The time factor in resuscitation initiated by ambulance drivers

C. TORP-PEDERSEN, E. BIRK-MADSEN and A. PEDERSEN

Department of Cardiology, Glostrup County Hosptial DK2600 Glostrup, Denmark

Received 22 March 1988; accepted 26 September 1988.

Address for correspondence and reprints: Christian Torp-Pederten, MD, Department of Cardiology, Rigshospitalet, Belgdamsvej, DK2100 Copenhagen Ø, Denmark.

Abstract

This study is concerned with the value of basic CPR (manual ventilation and closed chest cardiac massage) initiated within 5 min in delaying brain damage after cardiac arrest in adult patients at ambient temperature. In 88 cases of cardiac arrest, basic CPR was initiated within 5 min of collapse by trained ambulance personnel. Basic CPR was continued during transport to the hospital in ambulances not equipped with defibrillators. Advanced CPR was instituted in all patients upon hospital arrival. All 11 patients eventually discharged from the hospital without apparent brain damage arrived at the hospital within 10 min of cardiac arrest. A signifi–cant number of patients arriving later could be resuscitated acutely but later died unconscious or were discharged with severe brain damage. We conclude that basic CPR, including bystander CPR initiated within 5 min of cardiac arrest is likely to be of long-term value only if definitive advanced life support can be provided within 10 min after the patient's collapse.

Key Words: Cardiac arrest • ventricular fibrillation • asystolia • bystander resuscitation


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