A new approach to resuscitation of individuals with out-of-hospital cardiac arrest due to ventricular fibrillation or pulseless ventricular tachycardia was implemented in Tucson Arizona in 2003 and in 2004 this approach was further modified and implemented in the Rock and Walworth counties of Wisconsin -. This approach is now called Cardiocerebral Resuscitation. At the time of its development, it was a dramatic departure from the then traditional technique of cardiopulmonary resuscitation (CPR) endorsed by the American Heart Association and the international community in Guidelines 2000 . This new approach to out-of-hospital cardiac arrest is extremely important, for when the principles of cardiocerebral resuscitation were utilized in the pre-hospital care of adults with a witnessed arrest and an initially shockable rhythm, a marked and statistically significant improvement in survival was observed (Kellum et al. personal communication).
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