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DERIVATION OF CLINICAL PREDICTORS OF FAILED RESCUE SHOCK DURING OUT-OF-HOSPITAL VENTRICULAR FIBRILLATION

ABSTRACT

Background. Failed rescue shocks have been shown to decrease the likelihood of survival in the treatment of out-of-hospital ventricular fibrillation (VF). Avoidance of failed shocks may improve survival. Objective. We sought to derive clinical predictors that could be used by emergency medical services (EMS) personnel to identify a subset of VF patients whose first rescue shock is likely to fail, making them candidates for a cardiopulmonary resuscitation (CPR)-first strategy. Methods. After gaining institutional review board approval from all three institutions, we merged data from Los Angeles, Pittsburgh, and Royal Oak into a new cardiac arrest database. We used classification and ...

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