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Previous Volume 336:1325-1326 May 1, 1997 Number 18 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: Schindler et al. (Nov. 14 issue)¹ report the clinical predictors of unsuccessful resuscitation in children who had out-of-hospital cardiac or respiratory arrest. Among the predictors of unsuccessful resuscitation identified in the study was the requirement for higher doses of sodium bicarbonate during resuscitation in the emergency department. Before any conclusions can be made about the variables influencing the decision to stop efforts at resuscitation, this observation should be carefully examined.

Most studies have failed to demonstrate that the administration of sodium bicarbonate in the course of cardiopulmonary resuscitation improves the outcome of cardiac arrest in children.^2,3 Instead, . . . [Full Text of this Article]

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