Hot Off the Press: Prehospital Advanced Cardiac Life Support for Out-of-hospital Cardiac Arrest

Acad Emerg Med. 2018 Apr;25(4):453-455. doi: 10.1111/acem.13334. Epub 2017 Nov 11.


This retrospective cohort study examined the rate of survival to hospital discharge among adult patients with out-of-hospital cardiac arrest, comparing patients who received care only from basic cardiac life support (BCLS)-trained emergency medical service (EMS) crews to patients who had an advanced cardiac life support (ACLS)-trained EMS crew on scene at some point during the resuscitation. There was no difference in the primary outcome of rate of survival to hospital discharge (10.9% with ACLS care and 10.6% with BCLS care, p = 0.67).

MeSH terms

  • Adult
  • Advanced Cardiac Life Support / methods
  • Advanced Cardiac Life Support / mortality
  • Aged
  • Cardiopulmonary Resuscitation / methods
  • Cardiopulmonary Resuscitation / mortality*
  • Emergency Medical Services / organization & administration*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Out-of-Hospital Cardiac Arrest / mortality*
  • Out-of-Hospital Cardiac Arrest / therapy*
  • Patient Discharge
  • Retrospective Studies
  • Survival Analysis