Cardiopulmonary arrest and mortality trends, and their association with rapid response system expansion

Jack Chen and Kenneth M Hillman
Med J Aust 2015; 202 (1): . || doi: 10.5694/mja14.01208
Published online: 19 January 2015

In reply: Levinson and Mills focus on one of the most important challenges in health care — the appropriate management of patients at the end of life. It is correct to suggest that the rapid response system-associated reduction in inhospital cardiopulmonary arrest may be due to more than just prevention through early intervention, but may also be due to increased attention to end-of-life care and avoidance of inappropriate resuscitation. Up to 30% of all rapid response calls are for patients with end-of-life issues. Perhaps if we develop ways of identifying these patients earlier, a more appropriate management plan could be developed in cooperation with patients and their carers.

  • Jack Chen
  • Kenneth M Hillman

  • University of New South Wales, Sydney, NSW.


Competing interests:

No relevant disclosures.


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