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The article focuses on the effectiveness and pitfalls of systems and delivery of pre-hospital trauma care in the U.S., Great Britain and Europe. It says that dispatch of British mobile medical teams is delayed because members tend to have other clinical responsibilities. It is noted that medical emergency services in Europe are led by physicians and involve paramedics, nurses and anaesthetists. A medical journal claims that the U.S. relies on informed consent before treatments are conducted while evidence-based practice is less in minor disorders.

This European Resuscitation Council (ERC) Guidelines for Resuscitation 2018 update is focused on the role of antiarrhythmic drugs during advanced life support for cardiac arrest with shock refractory ventricular fibrillation/pulseless ventricular tachycardia in adults, children and infants. This update follows the publication of the International Liaison Committee on Resuscitation (ILCOR) 2018 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations (CoSTR). The ILCOR CoSTR suggests that any beneficial effects of amiodarone or lidocaine are similar. This ERC update does not make any major changes to the recommendations for the use of antiarrhythmic drugs during advanced life support for shock refractory cardiac arrest., (Copyright © 2018 Elsevier B.V. All rights reserved.)