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Volume 355:2257-2260 November 23, 2006 Number 21
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Termination of Resuscitation in Out-of-Hospital Cardiac Arrest

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by Morrison, L. J.
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To the Editor: We do not believe that Morrison et al. (Aug. 3 issue)1 focused on the right question in the Termination of Resuscitation (TOR) trial. If saving lives is the issue, the question is: What can early, adequate advanced cardiac life support achieve? Basic life support — as provided in this study — will never result in "good" cardiopulmonary resuscitation, and transportation of the patient to the emergency department during basic life support is thus futile. With physician-staffed advanced cardiac life support systems, 40 to 50% of patients with out-of-hospital cardiac arrest have a return of spontaneous circulation, and . . . [Full Text of this Article]



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