Although the routine use of epinephrine in ACLS algorithms has shown to increase ROSC in cardiac arrest patients, there is mounting evidence for poor long-term survival. Check out this article: http://roguemedic.com/2013/06/are-we-killing-people-with-rosc/  Perhaps the next ECC Guidelines meeting should consider evidence from studies using norepinephrine during resuscitations instead of epinephrine.