“…Research suggests that during the COVID-19 pandemic prior to the spread of the Omicron variant, the incidence of out-of-hospital cardiac arrest (OHCA) increased substantially, as did the risk that OHCA would lead to death. 8 These appear to be not only direct effects from virus infection but also indirect effects of the pandemic and controlling measures, which include exacerbation of chronic conditions due to interrupted primary care, [9] , [10] psychosocial and economic stresses, 11 longer response time in the EMS system, [12] , [13] reduced willingness from bystanders and EMS physicians to conduct cardiopulmonary resuscitation (CPR), [14] , [15] , [16] , [17] delayed evaluations and treatments at hospitals, 18 reluctancy to seek emergency care due to fear of infection and travel ban, [19] , [20] etc.…”