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Emergency medical technicians may place intravenous lines, use advanced airway management devices, administer doses of epinephrine, and apply automated external defibrillators for OHCA patients before ED arrival. Basic and advanced cardiovascular life support was provided according to the 2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care [23] during the study period. Resuscitation was terminated if the patient exhibited persistent asystole after 30 minutes of advanced cardiovascular life support. All patients with sustained ROSC were admitted to the intensive care units and received standard intensive care treatment..

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