It’s Not Like TV: Cardiac Arrest and the End of Life

Humanity has long sought to influence the course of death. Only in the last half century have we been able to postpone death by restarting a stopped heart. As a practicing paramedic, I have developed an insider’s view of sudden death and what happens at the end-of-life.

Sudden cardiac arrest occurs an estimated 295,000 times each year in the United States. Until 1960, there was no effective treatment for cardiac arrest and life ended at the instant the heart stopped. However, with the advent of cardiopulmonary resuscitation (CPR), automated external defibrillators (AED), well designed emergency medical service systems, and advances in cardiac care in hospitals, there is now an 8.5%[1] chance that a person who suffers a sudden cardiac arrest will survive to live a life similar to the one they had prior to collapse.

Are you surprised that the success rate is that low? Perhaps that’s because on television, 75% of patients in cardiac arrest survive[2]. Happy endings make for better ratings, but they cloud the perception of the end of life and may encourage us to pursue resuscitation when we should let death take its course. Read more »