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Okhca Revised 09 02 08  Form

Okhca Revised 09 02 08 Form

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I want to talk now about out of Hospital kak arrests with a focus on Cal timing and indication just some reminder of basic idea prognostic ideas you need to know of 100 patients suffering from out of hospital car arrest about 10% survive to hospital discharge 8% with good neuro and functional status this is more so if you have VB V as initial Rhythm up to 30% survived to hospital discharge with decent neurological status with PA arrest 10% survive to hospital charge worse if paa is from primary cardiac failure versus PA from metabolic respiratory causes and asyo that has the worst prognosis only 2% survive to hospital discharge and if you have unwitnessed Ayo with delay to CPR more than 10 minutes practically 0% survive to hospital discharge some patient with nonshockable initial Rhythm paa or asyo develop vtv FIB during the course of resuscitation but they should still be considered as non-shockable Rhythm for the purposes of prognosis and downstream Cal therapy we use initial Rhythm

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