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There is variability in survival after out-of-hospital cardiac arrest and early reperfusion in STEMI appears beneficial, but no additional benefit was seen from transfer to larger hospitals with specialist services.

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Keith Couper 1,2, Peter K Kimani 1, Chris P Gale 3,4, Tom Quinn 5, Iain B Squire 6, Andrea Marshall 1, John J M Black 7, Matthew W Cooke 1, Bob Ewings 8, John Long 8, Gavin D Perkins 1,2,*

1 Warwick Medical School, University of Warwick, Coventry, UK
2 Academic Department of Anaesthesia, Critical Care, Pain and Resuscitation, Heart of England NHS Foundation Trust, Birmingham, UK
3 Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK
4 York Teaching Hospital NHS Foundation Trust, York, UK
5 Faculty of Health, Social Care and Education, Kingston University, London and St George’s, University of London, London, UK
6 University of Leicester and Leicester NIHR Cardiovascular Research Unit, Glenfield Hospital, Leicester, UK
7 South Central Ambulance Service NHS Foundation Trust, Otterbourne, UK
8 PPI representative, ,
* Corresponding author Email:

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