Optimize the chain-of-survival by implementing rapid dispatch, making T-CPR accountable with training and performance measures, and adopting high performance CPR. If you're not already there, forget about ECMO. Also, we need to talk about the phrase "refractory cardiac arrest." – at Hilton Head Island, SC

Sometimes self-care means imposing boundaries that others don't understand. That can be difficult for first responders and other health care professionals, especially if they have experienced post-traumatic injury. Outside of work you have a right to avoid things that stress you. – at Hilton Head Island, SC