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Delays in Cardiopulmonary Resuscitation, Defibrillation, and Epinephrine Administration All Decrease Survival in In-hospital Cardiac Arrest.
Anesthesiology
March 2019
From the Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania (N.G.B., Y.X.) Saint Luke's Mid America Heart Institute, Kansas City, Missouri (P.S.C.) the University of Missouri, Kansas City, Missouri (P.S.C.). Albert Einstein College of Medicine, New York, New York University of Texas at Arlington, Arlington, Texas Children's Hospital of Philadelphia, Philadelphia, Pennsylvania Parkland Health and Hospital System, Dallas, Texas Johns Hopkins Medicine Simulation Center, Baltimore, Maryland University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania Virginia Commonwealth University Health System, Richmond, Virginia Virginia Commonwealth University Health System, Richmond, Virginia New York University School of Medicine, New York, New York University of Washington, Seattle, Washington University of Washington, Seattle, Washington Institute for Healthcare Improvement, Boston, Massachusetts Research Triangle Institute International, Research, Triangle Park, North Carolina University of Colorado, Aurora, Colorado Lucile Packard Children's Hospital at Stanford, Palo Alto, California Beth Israel Deaconess Medical Center, Boston, Massachusetts American Heart Association, Dallas, Texas American Heart Association, Dallas, Texas American Heart Association, Dallas, Texas Baystate Medical Center/Tufts University School of Medicine, Springfield, Massachusetts University of Arizona Medical Center, Tucson, Arizona Johns Hopkins School of Medicine, Baltimore, Maryland.
What We Already Know About This Topic: Rapid response to witnessed, pulseless cardiac arrest is associated with increased survival.
What This Article Tells Us That Is New: Assessment of witnessed, pulseless cardiac arrests occurring at 538 hospitals during a 9-yr period indicates that CPR did not occur immediately at 0 min in 5.7% of patients despite guidelines for instantaneous initiation.