The New England Journal of Medicine

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Overview

Community and EMS Interventions to Improve Survival in Cardiac Arrest

Nov 8, 2026DOI: 10.1056/nejmoa2612757Original ArticleNEJM

Written by: Carolina Malta Hansen, M.D., Ph.D.Konstantin A. Krychtiuk, M.D., Ph.D.Monique A. Starks, M.D., M.H.S.Hussein R. Al-Khalidi, Ph.D.Daniel B. Mark, M.D., M.P.H.Lisa Monk, M.S.N., R.N.Lisa Kaltenbach, M.S.James G. Jollis, M.D.Sana M. Al-Khatib, M.D., M.H.S.Hayden B. Bosworth, Ph.D.Kimberly Ward, M.P.H.Sarah Smith, B.S.Tyler Cope, D.P.T.Steve Vandeventer, E.M.T.P.Jyotsna Garg, M.S.Audrey L. Blewer, Ph.D., M.P.H.Edward Sharpe, B.S., B.A.Thomas D. Rea, M.D., M.P.H.R. Darrell Nelson, M.D.Bryan McNally, M.D., M.P.H.Christopher B. Granger, M.D.

Summary

In patients with an out-of-hospital cardiac arrest, a strategy of dispatcher training, training in CPR, and expanded defibrillator use did not provide a benefit over usual care for survival to discharge with a good neurologic outcome.