Even if you do not subscribe to the idea of such significant change to subsidized out of hospital care, there are other potentials for community involvement that will pragmatically improve the effectiveness of emergency care such as empowering bystanders to act.

In the past several months, I have seen articles challenging standard practices toward intubation and c-spine immobilization – basic tenets of our practice – but how many agencies have made any significant investigation toward change in these protocols?