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Association between acidosis and outcome in out-of-hospital cardiac arrest patients

  • Author Footnotes
    1 Chi-Chun Lin and Cheng-Yu Lin are the first authors. The first two authors contributed equally to this paper.
    Chi-Chun Lin
    Footnotes
    1 Chi-Chun Lin and Cheng-Yu Lin are the first authors. The first two authors contributed equally to this paper.
    Affiliations
    Department of Emergency Medicine, Chang Gung Memorial Hospital, and Chang Gung University College of Medicine, Linkou, Taiwan

    Department of Emergency Medicine, Ton-Yen General Hospital, Zhubei, Taiwan
    Search for articles by this author
  • Author Footnotes
    1 Chi-Chun Lin and Cheng-Yu Lin are the first authors. The first two authors contributed equally to this paper.
    Cheng-Yu Lin
    Footnotes
    1 Chi-Chun Lin and Cheng-Yu Lin are the first authors. The first two authors contributed equally to this paper.
    Affiliations
    Department of Emergency Medicine, Ton-Yen General Hospital, Zhubei, Taiwan
    Search for articles by this author
  • Chien-Hsiung Huang
    Affiliations
    Department of Emergency Medicine, Chang Gung Memorial Hospital, and Chang Gung University College of Medicine, Linkou, Taiwan
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  • Li-Heng Tsai
    Affiliations
    Department of Emergency Medicine, Ton-Yen General Hospital, Zhubei, Taiwan
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  • Chan-Wei Kuo
    Affiliations
    Department of Emergency Medicine, Ton-Yen General Hospital, Zhubei, Taiwan
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  • Cheng-Yu Chien
    Correspondence
    Corresponding author at: Department of Emergency Medicine, Chang Gung Memorial Hospital, No. 5 Fushing St., Gueishan Shiang, Taoyuan, Taiwan.
    Affiliations
    Department of Emergency Medicine, Chang Gung Memorial Hospital, and Chang Gung University College of Medicine, Linkou, Taiwan

    Department of Emergency Medicine, Ton-Yen General Hospital, Zhubei, Taiwan
    Search for articles by this author
  • Author Footnotes
    1 Chi-Chun Lin and Cheng-Yu Lin are the first authors. The first two authors contributed equally to this paper.
Published:April 02, 2018DOI:https://doi.org/10.1016/j.ajem.2018.04.002
      Out-of-hospital cardiac arrest (OHCA) is still a critical issue worldwide. In Taiwan, there is no rule for termination of resuscitation (TOR) in a pre-hospital setting or in the emergency department (ED); therefore, a cardiac arrest patient may receive cardiopulmonary resuscitation (CPR) for >30 min at the family's request. Prolonged resuscitation may have little benefit for selected patients, including the young and those with myocardial infarction or hypothermia as well as patients with potentially reversible factors in cardiac arrest [
      • Youness Houssein
      • Al Halabi Tarek
      • Hussein Hussein
      • Awab Ahmed
      • Jones Kellie
      • Keddissi Jean
      Review and outcome of prolonged cardiopulmonary resuscitation.
      ,
      • Matos R.I.
      • Watson R.S.
      • Nadkarni V.M.
      • Huang H.H.
      • Berg R.A.
      • Meaney P.A.
      • et al.
      Duration of cardiopulmonary resuscitation and illness category impact survival and neurologic outcomes for in-hospital pediatric cardiac arrests.
      ]. Furthermore, lengthy resuscitation efforts can be a waste of precious medical resources and potentially detrimental to emergency staff and patient safety, especially in a crowded emergency department.

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