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Is return of spontaneous circulation always the best outcome in cardiac arrest?
  1. Matthew Thomas
  1. Correspondence to Dr Matthew Thomas, Intensive Care Unit, UHBristol NHS Trust, Bristol BS2 8HW, UK; matthew.thomas{at}uhbristol.nhs.uk

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I would like to commend Professor Siriwardena and colleagues on producing a fascinating paper on quality indicators in prehospital care.1

They state in their paper that process measures are more sensitive to the quality of care and of the measures they identify the majority are process measures.

They do …

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