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Cardiopulmonary Resuscitation and Survival-Reply

Monroe Karetzky, MD; Mohammad Zubair, MD; Jayesh Parikh, MD
Arch Intern Med. 1996;156(2):216. doi:10.1001/archinte.1996.00440020125022.
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In reply  The letter from Weil and colleagues reeemphasizes our findings indicating the lack of improvement in survival following closed-chest resuscitation since its introduction 35 years ago. We fully support their contention that available data should lead to constraint, if not to the placement of a moratorium on the use of CPR. In addition, we agree that the time has come to divert funds from the CPR industry, which has come into existence as a result of the "chain-of-survival" public health initiative, to the support of investigation in the science of basic and advanced life support. The proliferation of basic and advanced life-support instruction courses and their transition from cost center to profit center has been allowed to continue without serious challenge on the basis of myth, misinformation, and misapplication, until recently.1,2Programs are needed for the gathering of objective evidence as to the efficacy of established interventions and


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