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Cardiac arrest

Preparation
Immediate management
Investigations
Prevention
Prognosis
Prognosis

Few patients are discharged alive. a b

Survival is worse in: 

  • out-of-hospital arrests b
  • asystole or pulseless electrical activity a b  
  • elderly patients b  

Why?

Survival is best in hospital and with VT/VF arrests

survival to discharge a b in-patients 
(95% CI)
out-patients 
(95% CI)
all patients 13% to 22% -
VF/VT arrest 20% 
(18% to 22%)
8% 
(5% to 10%)
other rhythm 10% 
(8% to 11%)
-
PEA - 4% 
(2% to 6%)
asystole - 1.3% 
(0.8% to 1.7%)
elderly patients 7% to12% 0.82% 
(0.0% to 2.0%)

Expiry date: July 2003
Levels of Evidence used in grading these guides

Author   CM   Ball
Reviewer   S   Straus
CAT Writers   CM   Ball , CJ   Wotton