A New Termination of Resuscitation Rule from Japan Doesn't Outperform Others

Using a large database of out-of-hospital cardiac arrests, the authors compared five different rules for termination of resuscitation.

Researchers performed a prospective, multicenter, observational study to evaluate the utility of several termination of resuscitation (TOR) rules in out-of-hospital cardiac arrests (OHCAs) in Japan between January 2012 and March 2013. The authors note the unique setting in Japan, where prehospital providers cannot independently terminate resuscitation and thus must transport all OHCA patients. The researchers compared five TOR rules: Basic Life Support (BLS; unwitnessed by emergency medical service personnel, no shock delivered, no prehospital return of spontaneous circulation), the similar Goto rule, SOS–KANTO 1 (unshockable rhythm at hospital arrival instead of prehospital return of circulation), SOS–KANTO 2 (asystole at hospital instead …

Reviewing Author

Richard L. Byyny, MD, MSc, FACEP

Disclosures

EquityZimmer; Aetna

Editorial BoardsAmerican College of Emergency Physicians Clinical Policies Committee

Richard L. Byyny, MD, MSc, FACEP

Disclosures

EquityZimmer; Aetna

Editorial BoardsAmerican College of Emergency Physicians Clinical Policies Committee

A New Termination of Resuscitation Rule from Japan Doesn't Outperform Others

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Reviewing Author