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 [
[1]
,
[2]
]. 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.Keywords
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References
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- Duration of cardiopulmonary resuscitation and illness category impact survival and neurologic outcomes for in-hospital pediatric cardiac arrests.Circulation. 2013; 127: 442-451
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Article Info
Publication History
Published online: April 02, 2018
Accepted:
April 2,
2018
Received in revised form:
March 30,
2018
Received:
March 28,
2017
Identification
Copyright
© 2018 Elsevier Inc. All rights reserved.