Recruitment was carried out back-to-back, considering adult patients (>18 years old) with a prehospital diagnosis of ACVD who were transferred to an ED by ambulance. Without exception, all patients included in this study were evaluated on-scene by an ALS and, following evaluation, the ALS physician either decided on no transfer (discharge on site), or alternatively that the case required emergency transfer to an ED, either by a BLS or an ALS. Minors, end-stage patients (documented by a specialist report), non-recovered cardiorespiratory arrest, pregnant women (at any period of gestation), cases where it was not possible to obtain prehospital analysis and patients without informed consent were excluded.
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