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Commentary
December 18, 2002

Resuscitation After Cardiac ArrestA 3-Phase Time-Sensitive Model

Author Affiliations

Author Affiliations: Department of Medicine, Johns Hopkins University, Baltimore, Md (Dr Weisfeldt); and Section of Emergency Medicine, Department of Medicine, University of Chicago, Chicago, Ill (Dr Becker).

JAMA. 2002;288(23):3035-3038. doi:10.1001/jama.288.23.3035

Despite 40 years of cardiopulmonary resuscitation (CPR) therapies, overall survival rates after cardiac arrest remain poor. Recent data suggest that the death toll in the United States is greater than previously believed—possibly 450 000 sudden deaths each year—yet the average survival rate remains lower than 5%.1 In contrast, the article by Cobb et al2 in this issue of THE JOURNAL suggests a lower incidence rate, about 184 000 cardiac arrests per year, as well as a decreasing proportion of cardiac arrests with ventricular fibrillation (VF) as the first identified rhythm.

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