Thivakorn Kasemsri,
Pediatric Intensivist
Covenant Children's Hospital
Send letter to journal:
Re: Residents saving lives all over the place? Not so fast.
tkasemsri{at}covhs.org Thivakorn Kasemsri
|
Thank you for presenting an analysis of data from the large NRCPR
database. Unfortunately, I must disagree with your eye-catching
conclusion that "improved 24-hour survival for children receiving in-
hospital cardiopulmonary resuscitation is associated with the presence of
pediatric residents and fellows" on the grounds that your study did not
support such a conclusion. I apologize if it was an editorial mistake and
not your intention to either imply that the residents and fellows were
responsible for the successful CPR or that the mere presence of either one
of these physicians-in-training at the bedside or in the hospital led to a
better outcome. Perhaps you will mine the database to see the actual
composition of successful CPR teams and for specific contributions of
Residents and Fellows. I contend that there are units where Residents do
not participate in the resuscitation of patients in the quarternary level
hospitals e.g. the cardiac ICU and therefor can not affect outcome of CPR.
An alternative explanation may be that hospitals with Residents and
Fellows tend to be in metropolitan areas that attract highly motivated and
talented nurses who are actually responsible for successful
resuscitations.
Conflict of Interest:
None declared |
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Residents saving lives all over the place? Not so fast.
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