Neil A. Solomon, MD
To the Editors: I read with interest and emotion Dr. Cleaveland's description (1) of his failed attempt at out-of-hospital cardiopulmonary resuscitation (CPR). In the past 5 years, I have twice provided CPR to pedestrians who revived and returned to full neurologic function. Both incidents occurred near a health care facility, decreasing the delay in the arrival of equipment for definitive care (defibrillation, intubation, and intravenous access). In Dr. Cleaveland's case, supplemental oxygenation was delayed for 20 minutes and definitive care technology arrived even later. Despite adherence to American Heart Association resuscitation protocol, the patient died.
The greatest predictor of survival
Solomon NA. Improving Cardiac Resuscitation in the Community. Ann Intern Med. ;116:347–348. doi: 10.7326/0003-4819-116-4-347_3
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Published: Ann Intern Med. 1992;116(4):347-348.
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