To the Editor Using Medicare claims data, Sanghvai et al1 observed higher survival with good neurological function among adult out-of-hospital cardiac arrests (OHCA) treated by emergency medical services (EMS) agencies that billed for basic life support (BLS) vs advanced life support (ALS) care. Their Original Investigation fails to recognize key nuances of United States OHCA care and Medicare EMS reimbursement.
Wang HE, Kupas DF. Outcomes After Out-of-Hospital Cardiac Arrest Treated by Basic vs Advanced Life Support. JAMA Intern Med. 2015;175(8):1421. doi:10.1001/jamainternmed.2015.2097