In cardiac arrest do CPR and also give IV amiodarone
Anti-arrhythmic injections when given
by paramedics to patients with out-of-hospital cardiac arrest who had failed
electrical shock treatment, improves likelihood of patients surviving transport
to the hospital.
The study is published online in the
New England Journal of Medicine.
The trial shows that amiodarone and
lidocaine offer hope for bringing patients back to life and into the hospital
after cardiac arrest.
There was a significant improvement
in survival to hospital discharge with either drug when the cardiac arrest was
bystander-witnessed.
A bystander-witnessed cardiac arrest
is one that is witnessed by another person.
Sudden cardiac arrest is a
condition in which the heart suddenly or unexpectedly stops beating, cutting
off blood flow to the brain and other vital organs.
Only about 10 percent of people
who suffer cardiac arrest outside the hospital survive. Effective treatments,
such as CPR and defibrillation, can greatly increase a victim’s chance of
survival. This study adds the possibility of additional benefit from the use of
the heart rhythm medications.
The 3-5 percent increase in survival
reported in this trial means 1,800 additional lives could potentially be saved
each year from cardiac arrest.
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