| Narrative review: cardiopulmonary resuscitation and emergency cardiovascular care: review of the current guidelines. | |
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MedLine Citation:
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PMID: 17679705 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Sudden cardiac death is a major clinical problem, causing 300,000 to 400,000 deaths annually and 63% of all cardiac deaths. Despite the overall decrease in cardiovascular mortality, the proportion of cardiovascular death from sudden cardiac death has remained constant. Survival rates among patients who have out-of-hospital cardiac arrest vary from 5% to 18%, depending on the presenting rhythm. The latest guidelines for cardiopulmonary resuscitation (CPR) and emergency cardiovascular care published by the American Heart Association include substantial changes to the algorithms for basic life support and advanced cardiovascular life support. For unwitnessed cardiac arrest, immediate defibrillation of the patient is no longer recommended. Rather, 2 minutes of CPR before defibrillation is now recommended. People in cardiac arrest should no longer receive stacked shocks. The compression-ventilation ratio has been changed from 15:2 to 30:2. This article is a contemporary review of the management of CPR and emergency cardiovascular care. It examines current practice and data supporting use of CPR, along with changes in the management of sudden cardiac death. |
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Authors:
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Bakhtiar Ali; A Maziar Zafari |
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Publication Detail:
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Type: Journal Article; Practice Guideline; Research Support, N.I.H., Extramural; Review |
Journal Detail:
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Title: Annals of internal medicine Volume: 147 ISSN: 1539-3704 ISO Abbreviation: Ann. Intern. Med. Publication Date: 2007 Aug |
Date Detail:
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Created Date: 2007-08-07 Completed Date: 2007-08-13 Revised Date: 2008-03-27 |
Medline Journal Info:
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Nlm Unique ID: 0372351 Medline TA: Ann Intern Med Country: United States |
Other Details:
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Languages: eng Pagination: 171-9 Citation Subset: AIM; IM |
Affiliation:
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Atlanta Veterans Affairs Medical Center, Decatur, Georgia 30033, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Cardiopulmonary Resuscitation*
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methods,
standards Cardiovascular Agents / therapeutic use Cardiovascular Diseases / complications Electric Countershock Emergency Medical Services* / methods, standards Heart Arrest / etiology, physiopathology, therapy* Humans |
| Grant Support | |
ID/Acronym/Agency:
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1U01HL079156/HL/NHLBI NIH HHS |
| Chemical | |
Reg. No./Substance:
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0/Cardiovascular Agents |
| Comments/Corrections | |
Comment In:
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Ann Intern Med. 2008 Mar 18;148(6):485-6; author reply 486
[PMID:
18347360
]
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Erratum In:
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Ann Intern Med. 2007 Oct 16;147(8):592 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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