... arrestCommentary Key advances in critical care in the out -of- hospital setting: the evolving role of laypersons and technologyPaul E Pepe1,2,3 and Jane G Wigginton1,31 The University of Texas Southwestern ... doctors, and otherprehospital care providers [4,5]. As explained in the followingdiscussion, many of the life-saving efforts and advances for critical care situations have now begun to focus increasinglyon ... http://ccforum.com/content/10/1/119AbstractDuring the past decade, critical care in the out -of- hospital setting hastranscended the original emphasis on on-scene advanced lifesupport interventions by doctors, paramedics, and nurses....