However, registration of cardiac arrests was prospective and uniform, following the standardized Utstein style for reporting out - of - hospital cardiac arrest and revised for data
quality assurance by the RACE -
CARS team.18 Our results support efforts of other communities
seeking to improve bystander and first - responder intervention, since they come from a
quality - improvement database of a substantial portion of the state of North Carolina, with stable reporting over a 4 - year period during a broad implementation program that
used a standardized protocol, as recommended by the American Heart Association.13, 20,40
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