The medical industry has made great strides in the development of emergency medicine. With the new standards coming from the American Heart Association, we can expect to have better return of spontaneous circulation on cardiac arrest victims. The PALS course has been revamped and the algorithms are ready to be implemented.The health care market has also seen an increase in the number of new graduates due to the poor economy. Registered nurses are flooding the market as we speak. The level of care has taken a back seat to lesser trained individuals in order to save a dollar as well. Finally, we can only guess what will happen if we ever progress to the new health care plan.