Impact of advanced cardiac life support‐skilled paramedics on survival from out‐of‐hospital cardiac arrest in a statewide emergency medical service

摘要

BackgroundPrehospital research has found little evidence in support of advanced cardiac life support (ACLS) for out‐of‐hospital cardiac arrest. However, these studies generally examine city‐based emergency medical services (EMS) systems. The training and experience of ACLS‐skilled paramedics differs internationally, and this may also contribute to negative findings. Additionally, the frequency of negative outcome in out‐of‐hospital cardiac arrest suggests that it is difficult to establish sufficient numbers to detect an effect.