Sir.—Interestingly, the effectiveness of pediatric cardiopulmonary resuscitation (CPR) as described by Torphy et al1 parallels the results specific to the effectiveness of adult CPR in our community's paramedic system (data unpublished). In fact, recent analysis of more than 400 adult prehospital cardiac arrests occurring over a three-year period provides a similar mortality rate of greater than 90%.
In some of the prior reports on this subject specific to adults, the methodology utilized, such as what connotates the definition of long-term survivor and the exclusion of certain patient groups such as asystole patients, has probably contributed to an inaccurate representation of the actual adult mortality rate secondary to cardiac arrest in the majority of paramedic systems in this country.
There is no doubt that the findings of Torphy et al probably represent a more accurate mortality rate secondary to cardiac arrest in the community for both pediatric and adult patients
KOLLAR DJ. Effectiveness of Pediatric and Adult CPR. Am J Dis Child. 1985;139(9):857. doi:10.1001/archpedi.1985.02140110011002