Letters Section Editor: Robert M. Golub,
MD, Senior Editor.
To the Editor: In their Editorial,1 Drs Sanders and Ewy raise important questions about
the scientific consensus process used by the American Heart Association (AHA)
and International Liaison Committee on Resuscitation (ILCOR) in determining
guidelines for cardiopulmonary resuscitation (CPR). We agree that actual resuscitation
performance in and out of the hospital is often suboptimal2- 4 and
that more real-world resuscitation research is needed to guide recommendations.
We also agree that improving the likelihood of bystander response and quality
of CPR are essential to improve outcomes.
Billi JE, Montgomery W, Nolan J, Nadkarni V. Guidelines for Cardiopulmonary Resuscitation. JAMA. 2005;293(22):2713-2714. doi:10.1001/jama.293.22.2713-a