This podcast talks about quite a few different studies on Cardiac arrest, including a good double-blind, placebo controlled study on EMS use of Epi in Australia. It's a lengthy podcast, and the guy is a bit annoying, but I enjoyed it. Further to that is the more recent Japanese study, Prehospital Epinephrine Use and Survival Among Patients With Out-of-Hospital Cardiac Arrest The research is showing that the drugs we give are increasing the likelihood of a return of circulation, but show no significant increase in survival to discharge. Is the routine use of Epi etc bringing pulses back in patients that have no realistic chance of survival with intact neurological function? I'm interested to hear what the Arrse / RAMC brain trust has to say on this. Currently I'm out in California and my agency's cardiac arrest protocols can be found here. We have a comparable survival rate to other 911 agencies in the US but having never worked in the UK I'm interested to hear the NHS view of all this. Especially in the prehospital environment.