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Leon J. Warshaw, MD
New York Business Group on Health New York

JAMA. 1986;256(13):1722-1723.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

The "Standards and Guidelines for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiac Care (ECC)"¹ in the June 6 issue of JAMA and the accompanying editorial by Montgomery² properly emphasize the critical value of early bystander CPR in the prevention of sudden death. They also stress the importance of its being coupled with an efficient emergency medical system (EMS) with advanced cardiac life support capability. Unfortunately, there is only a passing reference to the importance of these elements in the workplace and in commercial establishments where many high-risk individuals are often found.

The New York Business Group on Health (NYBGH) Task Force on EMS examined this situation and found serious deficiencies.

An emergency response system, comprising employees trained in CPR, occupational health professionals, security and building staff, and a private ambulance unit with advanced cardiac life support capability, has been created in a few large organizations.

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