This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Related articles  • Similar articles in JAMA  Topic Collections  • Patient-Physician Relationship/ Care  • Treatment Adherence  • Emergency Medicine  • Alert me on articles by topic  Social Bookmarking   What's this?

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In Reply: We look forward to the final recommendations from the ILCOR/AHA ECC Committee. In our Editorial, we noted that with each update of the guidelines, ECC/advanced cardiac life support training has become progressively more complex. We hope that the new guidelines will be simpler. We recommend that ECC return to a primary focus on cardiac arrest and consider eliminating elaborate guidelines for other cardiovascular conditions such as acute myocardial infarction, stroke, arrhythmias, and pulmonary edema. In this way, the ECC guidelines for CPR could be updated more frequently.

To move off the plateau of a very low survival rate following cardiac arrest, more than just minor changes in the guidelines are required. Changing the compression-ventilation ratio or training rescuers to minimize interruptions in chest compressions will not accomplish the goal. Individuals unwilling to perform chest compressions with mouth-to-mouth resuscitation at a 2:15 ratio (most people) are not likely to . . . [Full Text of this Article]

Arthur B. Sanders, MD
Department of Emergency Medicine
University of Arizona College of Medicine

Gordon A. Ewy, MD
University of Arizona Sarver Heart Center
Tucson

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

RELATED ARTICLES

Guidelines for Cardiopulmonary Resuscitation
John E. Billi, William Montgomery, Jerry Nolan, and Vinay Nadkarni
JAMA. 2005;293(22):2713.
EXTRACT | FULL TEXT  

Quality of Cardiopulmonary Resuscitation During Out-of-Hospital Cardiac Arrest
Lars Wik, Jo Kramer-Johansen, Helge Myklebust, Hallstein Sørebø, Leif Svensson, Bob Fellows, and Petter Andreas Steen
JAMA. 2005;293(3):299-304.
ABSTRACT | FULL TEXT  

Quality of Cardiopulmonary Resuscitation During In-Hospital Cardiac Arrest
Benjamin S. Abella, Jason P. Alvarado, Helge Myklebust, Dana P. Edelson, Anne Barry, Nicholas O’Hearn, Terry L. Vanden Hoek, and Lance B. Becker
JAMA. 2005;293(3):305-310.
ABSTRACT | FULL TEXT  

Cardiopulmonary Resuscitation in the Real World: When Will the Guidelines Get the Message?
Arthur B. Sanders and Gordon A. Ewy
JAMA. 2005;293(3):363-365.
EXTRACT | FULL TEXT