Another reason that ACLS has been simplified, not stupificated is because all the current research and studies clearly show that most, if not all the "advanced" treatments we use in cardiac arrest have shown very little or no improvements in outcomes. The only two things that have shown improvements in survival have been high-quality CPR and rapid defib. The Interntional Committee on Resuscitation Guidelines make the statement in the most recent guidelines changes that the use of an advanced airways in the pre-hospital and hospital setting have shown no improvements in outcomes. Also make the statement that there is no evidence that any medications used in cardiac arrest have improved outcomes. Although there is definitely a time and place for both, the emphasis has switched dramatically to basic life support. I remember when drugs and airways were used before we defibrillated (good ole days). Now that we have supraglottic airways (LMA, King, Combitube) their is not need for intubation in most cases until the patient is stabilized. Giving drugs "down the tube" has also been proven extremely ineffective. I for one am glad it has been simplified.