“…However, the results are inferior to those series from cities with advancedtrained ambulance crews where survival rates of 17% (Rowley et al, 1985) to 27% (Thompson et al, 1985) are reported, or cities with a high proportion of arrests attended by members of the public trained in CPR and a fast-response paramedic system where survival rates of 43% have been achieved (Thompson et al, 1979). It would appear that the most effective way of increasing the success rate for out-ofhospital arrest is the advanced training of ambulance personnel to ensure adequate CPR and speedy defibrillation in the field.…”