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Volume 351:2553-2554 December 9, 2004 Number 24
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Advanced Cardiac Life Support

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 by Callans, D. J.
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 by Stiell, I. G.
-PubMed Citation
To the Editor: Although Stiell and colleagues (Aug. 12 issue)1 state that the Ontario Prehospital Advanced Life Support (OPALS) Study found no improvement in the rate of survival among patients with out-of-hospital cardiac arrest as a result of the addition of "advanced life support" interventions provided by paramedics (and Callans concurred in the accompanying Perspective article),2 these findings cannot be generalized to all emergency-medical-services systems. The authors suggest that definitive care is "advanced life support." I would submit that definitive care must be viewed as definitive therapy for a patient's underlying conditions. Myocardial infarction is a common cause of cardiac . . . [Full Text of this Article]




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