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Previous Volume 341:1770-1772 December 2, 1999 Number 23 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: As an investigator in four initial studies of active compression–decompression cardiopulmonary resuscitation (CPR), including a large randomized trial,¹ I would like to comment on the report by Plaisance et al. (Aug. 19 issue).² All studies of active compression–decompression CPR are seriously flawed by their complete lack of blinding. My own experience with the active compression–decompression device has demonstrated its powerful effect on participants' efforts. Imagine the additional effect when an unblinded intervention is not a pharmacologic or electrical therapy, but a mechanical device, the efficacy of which depends on the vigor and technique of its use.

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