In all the cases, not a single patient had been given CPR prior to our arrival. So right there, you can assume at least 5-10 minutes without any circulation. The (very rough) formula they taught us back then: every 1 minute without circulation -> 10% less chance to a successful CPR. When you go into cardiac arrest, you need CPR immediately or that's it.
In Germany the statistics at the time suggested roughly the following success rates:
- < 3 % with no CPR prior to arrival of EMT/paramedic
- ~ 20 % with immediate layman's CPR, fast emergency call, fast response
- ~ 30 - 40% when EMTs where on scene during the event (immediate application of drugs, intubation, excellent ventilation, good CPR)
- up to 70% when the patient went into cardiac arrest while in intensive care unit
Now, here's the thing: "Success" in all those cases means nothing more than 'Return Of Spontaneous Circulation' (ROSC). In layman's terms: the heart would start beating.
That - of course - tells you next to nothing about brain damage.The elephant in the room is, that when you end up being CPR'd in the street by the EMS after no circulation for 5 - 10 minutes, you better wish that you don't end up with ROSC. Because in all likelyhood you will (if you don't die after a few days in hospital / they kindly pull the plug) end with about as much brain activity as the chair you are sitting on right now.
Again: YMMV and I personally know a guy who was successfully resuscitated and became a paramedic after that. But I try to base life decisions on statistics and not anecdotes, so I personally prefer having a living will set up.