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  1. Obtain only for ROSC Patients
  2. If you need to manually fill in the date, use this field

  3. If you need to manually fill in a time, use this field

  4. Fill in first and last name in field

  5. Fill in first and last name in field

  6. Fill in first and last name in field

  7. Hot debrief conducted?
  8. Cares Data confirmed with AMR
  9. Leave This Blank:

  10. This field is not part of the form submission.