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My agency is seeking to improve the rescitation performance in the field, and we are generally dissasitified with the standard merit badge courses. How many of you provider either: 1- An in house alternative to ACLS or PALS/PEPP or; facilitate higher performance in resuscitation Or; 2- An in house supplement to ACLS or PALS/PEPP to facilitate higher performance in resuscitation If so, could you relate any specifics (on list or off) as far as course length and content? Also , if you are a NREMT state, what do you do about NREMT recertification. For the record, we are NOT looking at ACLS-EP. While this concept showed promise, it is logistically prohibitive to put the course on here or to train a cadre of in house instructors to the ACLS-EP level. its not from lack of trying, but rather logistical hurdles put up by the AHA. -Steve