About 40% of initial survivors of resuscitation out of hospital are discharged home without major neurological disability. Patients at high risk of subsequent cardiac death can be identified and may benefit from further cardiological evaluation.

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Hewlett Packard laser printer. Dot matrix printers are cheapest, but their print quality is poor and they are very noisy. Dot matrix printers are, however, well suited to printing on tractor feed paper and multipart forms.All printers can print on to A4 paper, but you should also ask whether the printer you are considering is capable ofprinting on to acetate sheets for overhead presentations and on to different sizes of paper. Many general practitioners prefer letters printed on A5 rather than A4 paper as A5 fits more easily into standard records. Users of portable computers may wish to consider a compact battery operated printer which allows printing on the move. Before choosing a printer ask to see an example ofits print quality and compare this with samples from other makes. Conclusions-On the basis that it would be inappropriate to initiate vigorous resuscitation in patients who can be identified as "dead" and beyond help an algorithm was prepared to guide ambulance personnel.

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