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May 26, 1993

Cardiopulmonary Resuscitation-Reply

Author Affiliations

University of Iowa College of Medicine Iowa City American Heart Association
University of Massachusetts Worcester American Heart Association
Straub Clinic and Hospital Honolulu, Hawaii American Heart Association

JAMA. 1993;269(20):2629. doi:10.1001/jama.1993.03500200039027

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In Reply.  —The AHA agrees entirely with Dr Baird's emphasis on the importance of screening and risk modification to avoid heart disease, cardiopulmonary arrest, and death. This was not ignored in the "Guidelines for CPR and Emergency Cardiac Care"; extensive discussions of the importance of education, identifying patients at high risk, and risk factor modification were included. This material was placed prominently in the "Introduction" for added emphasis (pages 2175 and following). It would, however, be unrealistic to think that emphasis on risk factor identification and modification will entirely avoid myocardial infarction or cardiac arrest; thus, there must always be guidelines for the management of the emergencies that will inevitably occur.The letters of Drs Gibbons, Burke and Mellick, Heimlich, and Muñiz are responded to by various members of the AHA's Emergency Cardiac Care Committee and Subcommittees. On behalf of our emergency cardiac care program, we wish to reiterate that