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Letters |1 June 1999

Epinephrine and Outcome after Cardiac Arrest

Paul E. Gause, MD

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  • Ephrata, PA 17522 (Gause)
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TO THE EDITOR:
I have several concerns about Behringer and colleagues' article on epinephrine and outcome after cardiac arrest (1).
The authors focused on patients who did not respond to initial attempts at defibrillation. With each passing aliquot of time, nonresponders receive continuing cardiopulmonary resuscitation (CPR) and the prescribed epinephrine regimen. Further difficulties establishing “down time” before institution of bystander CPR and the unsubstantiated overall effectiveness of this CPR affect stratification according to “no-flow” or “low-flow” duration. The result is a subselection of a group that has a poor prognosis and receives more epinephrine if the protocols are followed....
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Gause PE. Epinephrine and Outcome after Cardiac Arrest. Ann Intern Med. 1999;130:942. doi: 10.7326/0003-4819-130-11-199906010-00007

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Published: Ann Intern Med. 1999;130(11):942.

DOI: 10.7326/0003-4819-130-11-199906010-00007

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