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- W1975173986 abstract "In Reply. —Timely provision of prehospital emergency cardiac care results in optimal rates of survival from cardiac arrest. 1 If prehospital ACLS fails to achieve return of spontaneous circulation, repeating these efforts in a hospital offers little or no benefit. Given the costs and risks of rapid transport, policies that mandate this practice should be abandoned. 2 Any decision to terminate ACLS in the field must be authorized by an on-line EMS physician. We agree with Dr Jolly that in-service training must also be provided to help paramedics deal with the family's grief. Several EMS services already have policies that permit termination of unsuccessful ACLS in the field. 3 They have not reported significant problems. If our guidelines had been followed, the circumstances Dr Lipkis describes would not have led to the premature termination of efforts to save her father. We believe that every patient who sustains a cardiac arrest" @default.
- W1975173986 created "2016-06-24" @default.
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- W1975173986 date "1994-03-09" @default.
- W1975173986 modified "2023-10-14" @default.
- W1975173986 title "Out-of-Hospital CPR-Reply" @default.
- W1975173986 cites W2021105189 @default.
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- W1975173986 doi "https://doi.org/10.1001/jama.1994.03510340037028" @default.
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