Anästhesie, Intensivtherapie, Notfallmedizin
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480 preclinical cardiopulmonary resuscitations performed at the Emergency Center of the Federal Military Hospital in Hamburg were analysed. The late success was 7.9%, i.e., 38 patients were released after initially successful resuscitation and subsequent clinical treatment. Prognostic parameters indicating late success were deduced from the data. ⋯ Although the prognosis for patients with ventricular fibrillation is better, we are of the opinion that the success rate of preclinical cardiopulmonary resuscitations can be improved by systematic use of antiarrhythmics; metaproterenol sulfate should no longer be administered. The prognosis of resuscitated patients with contracted pupils and gasping breath and of patients with severe tachycardia is relatively good. Cardiac arrest after drowning carries best prognosis: 4 of 7 patients survived.