Abstract
Background: Patients suffering from out-of-hospital cardiac arrest (OOHCA) are generally transported to the closest ED, presumably to presumably to expedite a hospital level of care and improve the chances of return of spontaneous circulation (ROSC). As hospital-based therapies for survivors of OOHCA are identified, such as hypothermia and emergency angioplasty, certain hospitals may be designated as cardiac arrest receiving facilities. The safety of bypassing non-designated facilities with such a regional system is not known.
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