Unless I am misunderstanding the phrasing. In my county the medical director started a doing a trial of a new protocal where you don't transfer people in cardiac arrest. The results have been good to my knowledge. The trick is it is hard to do cpr well in the back of a moving van. So to improve quality of cpr we try to do in in the field and stablize the patiet prior to transport. There is almost nothing that will be done in a hospital for cpr that paramedic cannot do in the field. Nothing that is worth doing poor quality cpr for at any rate.