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Comment & Response
August 2015

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

Author Affiliations
  • 1Department of Emergency Medicine, University of Alabama School of Medicine, Birmingham
  • 2Department of Emergency Medicine, Geisinger Medical Center, Danville, Pennsylvania
  • 3Bureau of Emergency Medical Services, Pennsylvania Department of Health, Harrisburg
JAMA Intern Med. 2015;175(8):1421. doi:10.1001/jamainternmed.2015.2097

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.

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