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October 17, 1977

Cardiopulmonary Resuscitation

JAMA. 1977;238(16):1723. doi:10.1001/jama.1977.03280170017014

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To the Editor.—  Gilbert's response (238:128, 1977) to Vaisrub's editorial (237:898, 1977) concluded with a desire to hear from other community hospitals about their results with cardiopulmonary resuscitation. The Medical Audit Committee of St Francis Community Health Center recently concluded an audit of 50 cases of cardiopulmonary resuscitation performed in 1976, all of which were performed on inpatients.Regarding Gilbert's observation on the problem of defining survival, we present our results along both accepted norms. For "effective resuscitation," including those patients who remained hospitalized and eventually died during their hospital stay, survival rate was 52% (26/50). Calculating survival as "percent leaving the hospital alive," our patients' survival rate was 12% (6/50).Of our six survivals, only one patient was in our intensive care unit being monitored on telemetry. However, every survivor went into cardiopulmonary arrest within the immediate presence of a physician, nurse, or nursing aide. External manual cardiopulmonary resuscitation