I do close to 5-6 cardiac arrest a week not to mention various DOAs or traumatic arrests. Most of the time we get there too late even with average of 5 minute response time.

American Heart Association constantly upgrades and in response our system grows with them. New (not so new anymore) CPR standards as well as more push towards drugs that used to be in the shadows makes you ask questions. How came we were told four years ago not to use this but now it is a number one thing to do? How came the airway was always prioroty but now it is only circulation. Most of the time they come back with decent answers but sometimes they just draw blank. And since I teach it is hard for me to stand in front of a doctor who is used to doing things his way for 5 years and telling him that we are changing things around but having no explanations for him since AHA rep is going to "get back to me"... But the change is good and we are evolving althou not seeing much changes on the streets, docs may see changes in the ERs.

Resuscitation is an art. It is not plain cut simple cook book recepe. I realized after a month on the streets that doing stuff by the number isn't going to cut it. You have to think what you are doing and get really involved. Looking for underlying causes and reversing them is what counts.

It's all good and I'm looking for AHA to compile data for this period and improve once more.

ER TV show is funny. But I guess if you are a professional and look at shows about your job you will always shake your head.