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Kevin T. Moran, MD; Jagan N. Thupari, MD; Andrew M. Munster, MD
Baltimore Regional Burn Center Francis Scott Key Medical Center Johns Hopkins University School of Medicine Baltimore

JAMA. 1986;255(16):2157.

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

To the Editor.—

In their article entitled "Prehospital Cardiopulmonary Resuscitation: Is It Effective?" Cummins and Eisenberg¹ state: "Clinical evidence provides strong support for efforts to increase the percent of persons in cardiac arrests who receive early bystander CPR [cardiopulmonary resuscitation]. These efforts do no harm and clearly save lives." We wish to report a subgroup of patients in whom early bystander-initiated CPR may be dramatically successful.

Cardiac arrest induced by lightning or electricity is a unique injury because all patients may survive if CPR is promptly instituted. The potential success rate in this subgroup can be compared with success rates for resuscitation attempts in the hospital and in the community. When CPR is commenced in the hospital, a success rate of 56% has been reported.² Figures for resuscitation in the community are more difficult to interpret as reported by Cummins and Eisenberg, who have reviewed the results from . . . [Full Text PDF of this Article]

Footnotes
Edited by Drummond Rennie, MD, Senior Contributing Editor; Sharon Iverson, Assistant Editor.

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