“…Stratification was done by whether epinephrine was administered before or after the airway was attempted and tested via the Fleming-Harrington test for interval censored data via permutations. 17 To account for potential confounding, we used multivariable Cox regression, adjusting for: age (continuous); sex (male, female, unknown), first recorded EMS rhythm grouped as ventricular fibrillation (VF)/ventricular tachycardia (VT)/shockable by automated external defibrillator, pulseless electrical activity (PEA), asystole, no shock, and no strip (cannot determine); witness status (EMS, bystander, none, unknown); bystander CPR status (no CPR, CPR but no automated external defibrillator (AED), CPR and AED); dispatch to arrival time (continuous); arrest location (public, private); ALS first arrival (yes, no); successful intravenous (IV) or intraosseous (IO) access (neither, IV only, IO only, both); and epinephrine before airway (yes, no). Patients who received no epinephrine were coded as having airway placement before epinephrine administration.…”