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Lower survival rates seen with intra-arrest transport

Reuters Health - 15/09/2020 - Among patients with out-of-hospital cardiac arrest (OHCA), those who undergo intra-arrest transport during resuscitation have lower rates of survival to hospital discharge than do those with continued on-scene resuscitation, according to a registry study. "Some emergency medical systems (EMS) employ strategies in which patients for whom circulation cannot be restored with initial on-scene efforts are transported to hospital with ongoing CPR," explained Dr. Brian Grunau of St. Paul's Hospital and the University of British Columbia, in Vancouver, Canada. "Our study demonstrated that this strategy (in comparison to continued on-scene efforts) is associated with a decreased probability of survival, and rather supports a strategy that paramedics dedicate effort and expertise on scene rather than prioritizing transport to hospital," he told Reuters Health by email Some EMS agencies transport nearly all patients, regardless of return of...

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