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> Retired neurosurgical anesthesiologist here.

Have things changed over time?

> In-hospital arrests are almost universally fatal.

IHCA stats: "During the pre-surge period, 24.2% survived to discharge in 2020 vs. 24.7% in 2015–2019"

https://pmc.ncbi.nlm.nih.gov/articles/PMC8852282/#:~:text=Du...

"There are more than 356,000 out-of-hospital cardiac arrests (OHCA) annually in the U.S., nearly 90% of them fatal. "

https://www.sca-aware.org/about-sudden-cardiac-arrest/latest...

AEDs have greatly improved this (though this study is the highest I've seen - PAD is public access defibrillator):

"The overall survival to hospital discharge after OHCA treated with PAD showed a median survival of 40.0% (range, 9.1–83.3)."

https://www.ahajournals.org/doi/10.1161/circulationaha.117.0...

Even 90% for OHCA is far from universally fatal.

For IHCA, cath labs have greatly improved things, and we're now living in a world where ECPR is becoming increasingly common.




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