FiremanMike
Just a dude
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I don't see the benefit in having an ALS team lead, myself, and why do you need a medic for airway & for access + drugs? Can't the medic get access (via IO, probably), then throw a rescue airway in? BVM should be more than adequate initially. Heck, you could probably just throw on an NRB in most adult arrests of cardiac origin for the first couple minutes.
If we want to get really serious about trimming the fat, you don’t need any paramedics on the scene of a cardiac arrest.. high quality chest compressions, a BVM, and an AED are all that’s needed, if wer is being honest..