• F Giraud, C Rascle, and M Guignand.
• Service d'Aide Médicale Urgente, Hôpital de Bellevue, Saint-Etienne, France.
• Resuscitation. 1996 Nov 1; 33 (1): 19-27.

ObjectiveTo provide researchers with a description of the method of dealing with out-of-hospital cardiac arrests, and the results thereof, using the Utstein style.Designa series of out-of-hospital cardiac arrests between 1 October 1991 and 31 September 1992.Settinga French 'departement' (administrative subdivision).Population570,000 inhabitants; area: 2600 km2; emergency medical system consisting of two levels of response: the Emergency and Resuscitation Mobile Unit and the Fire Service.Patientsa sample of 380 patients found to have neither palpable pulse nor independent respiration.Resultsof the 234 (61%) patients in whom resuscitation was attempted, 41 (17%) were hospitalised and 12 (5%) discharged were still alive at 1 year follow-up. Of the patients who showed signs of cardiac arrest of cardiac aetiology, classified as having initial ventricular fibrillation (VF) rhythms: 62% of the cases (5/8) were alive at 1 year if the cardiac arrest occurred in the presence of emergency medical personnel; 6% of the cases (2/31) were alive at 1 year if the cardiac arrest occurred in the presence of non-specialised bystanders.

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