12/23/13 147 W - + 13 - 2 Work CPR in the Field, Not in the Ambulance

This one's been making the rounds on the EMS side. The American College of Emergency Physicians (ACEP) last week shared this story and two-minute video of Wake County Medical Director Dr. Brent Myers speaking at an ACEP event in Seattle in October. In almost all cases, he notes, it's best to stay on the scene to work a cardiac arrest resuscitation until the return of spontaneous circulation, or that efforts are stopped due to futility. "Load-and-go is not the appropriate approach," he's quoted as saying. The probability of neurologically intact survival is at least 10-fold higher, and by some estimates up to 35-fold higher, when resuscitation is achieved in the field, he said at the annual meeting.  Read the story or watch. Discuss as desired, or share perspectives on our county's cardiac survival successes.

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