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Comment & Response |

Outcomes After Out-of-Hospital Cardiac Arrest Treated by Basic vs Advanced Life Support

Dustin G. Mark, MD1; David R. Vinson, MD2; Dustin W. Ballard, MD, MBE3
[+] Author Affiliations
1Departments of Critical Care and Emergency Medicine, Kaiser Permanente, East Bay, Oakland, California
2Department of Emergency Medicine, Kaiser Permanente, Roseville, Roseville, California
3Marin County, Kaiser Permanente, San Rafael Emergency Medical Services, Department of Emergency Medicine, San Rafael, California
JAMA Intern Med. 2015;175(8):1422-1423. doi:10.1001/jamainternmed.2015.2109.
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To the Editor We read the article by Sanghavi et al1 with great interest and applaud the authors on their use of the Medicare claims database to examine patient-oriented outcomes resulting from advanced life support (ALS) vs basic life support (BLS) treatment for out-of-hospital cardiac arrest (OHCA). However, we feel to conclude that BLS offers a survival advantage is unwarranted given the data presented.

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August 1, 2015
Henry E. Wang, MD, MS; Douglas F. Kupas, MD
1Department of Emergency Medicine, University of Alabama School of Medicine, Birmingham
2Department of Emergency Medicine, Geisinger Medical Center, Danville, Pennsylvania3Bureau of Emergency Medical Services, Pennsylvania Department of Health, Harrisburg
JAMA Intern Med. 2015;175(8):1421. doi:10.1001/jamainternmed.2015.2097.
August 1, 2015
Ian R. Drennan, ACP, BScHK; Jason E. Buick, MSc, PCP; Sheldon Cheskes, MD, CCFP, EM, FCFP
1Rescu, Li Ka Shing Knowledge Institute, St Michael’s Hospital, Toronto, Ontario, Canada2Institute of Medical Science, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
1Rescu, Li Ka Shing Knowledge Institute, St Michael’s Hospital, Toronto, Ontario, Canada
3Sunnybrook Centre for Prehospital Medicine, Division of Emergency Medicine, Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada
JAMA Intern Med. 2015;175(8):1421-1422. doi:10.1001/jamainternmed.2015.2103.
August 1, 2015
Prachi Sanghavi, PhD; Anupam B. Jena, MD, PhD; Alan M. Zaslavsky, PhD
1Program in Health Policy, Faculty of Arts and Sciences, Harvard University, Cambridge, Massachusetts
2Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts3Massachusetts General Hospital, Boston4National Bureau of Economic Research, Cambridge, Massachusetts
2Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts
JAMA Intern Med. 2015;175(8):1423. doi:10.1001/jamainternmed.2015.2112.
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