A. Maziar Zafari, MD, PhD; Bahktiar Ali, MD
Potential Financial Conflicts of Interest: None disclosed.
Zafari A., Ali B.; Therapeutic Hypothermia after Cardiac Arrest. Ann Intern Med. 2008;148:486. doi: 10.7326/0003-4819-148-6-200803180-00023
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Published: Ann Intern Med. 2008;148(6):486.
We thank Dr. Rincon for his comments about the role of induced hypothermia in the management of cardiac arrest. Our narrative review focused on the key modifications in the updated American Heart Association guidelines (1) for cardiopulmonary resuscitation and emergency cardiovascular care to highlight the most important practical changes to these 2 topics. In all forms of cardiac arrest, availability of high-quality, basic life-support skills has the highest impact on survival. Thus, the most critical determinant of survival from cardiac arrest is the presence of rescuers who are trained to push hard and fast, allowing full chest recoil while minimizing interruptions in compressions, and to defibrillate promptly when appropriate (1).
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