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[781] We believe that many ground ambulance transports providing WBT already qualify for ALS2 payment, since patients requiring such transfusions are generally critically injured or ill and often suffering from cardio-respiratory failure and/or shock, and therefore are likely to receive one or more procedures currently listed as ALS procedures in the definition of ALS2, with endotracheal intubation, chest decompression, and/or placement of a central venous line or an intraosseous line the most probable to be seen in these circumstances

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doi: 10.1637/0005-2086(2003)047[0485:Mgaicr]2.0.Co;2 78 HelmyYAKathayatDGhanemMJungKClossGDeblaisLet al