TY - JOUR T1 - USe of epinephrine for cardiac arrest prior to hospital arrival AU - Carron P, Taffe P, Hugli O Y1 - 2012/07/04 N1 - 10.1001/jama.2012.5942 JO - JAMA SP - 29 EP - 31 VL - 308 IS - 1 N2 - First, their data show that the single most significant predictor of 1-month survival and good cerebral performance was the occurrence of ROSC (eTable 2 in article). The interval between the beginning of ventricular fibrillation and the occurrence of ROSC is a key predictor of these outcomes2; this time interval is not included in their analysis. Therefore, the use of epinephrine could be a surrogate marker of a more prolonged resuscitation and delayed ROSC in patients failing to respond to the initial defibrillation,3 and the time to ROSC a confounding factor for the effect of epinephrine. The time to ROSC is 1 of the core time events to be recorded in the Utstein template,4 allowing new analyses to be redone with the time from telephone call to ROSC as an additional factor. SN - 0098-7484 M3 - doi: 10.1001/jama.2012.5942 UR - http://dx.doi.org/10.1001/jama.2012.5942 ER -