Base on the study made by the group of Feroduk in 2001 the Casino Windsor Ontario Canada in summer of 1994 has opened its door to the public employing onsite paramedics who were capable of immediately accessing and defibrillate cardiac arrest victims. Soon after then the Casino Windsor transferred emergencies responsibility from the onsite paramedics to the onsite nurse who can also function an occupational and safety nurse. On the other hand, during the same time the City of Windsor was also involved in the study Ontario Pre-hospital Advanced Life Support which was coordinated together with the Clinical Epidemiology Unit of the Ottawa Hospital, University of Ottawa. At this time the response system of the City of Windsor consisted of firefighters First Responders and BLS Paramedics. The EMS functioned as BLS and ALS Paramedics. The OPALS study system was meant to look at the survival rate of the cardiac arrest victims in a pre-hospital setting using the Utstein Criteria (Feroduk et al 2001). Furthermore, there is legislation by the Essex-Kent Base Hospital Program that medical oversight, direction, and quality assurance and continuing medical care education to pre-hospital care providers. It has established a set of the protocol on defibrillation in the pre-hospital setting. The Casino Windsor became an active participant in this pre-hospital care. The Casino Windsor used the same defibrillation protocols used by the pre-hospital care providers in the community (Feroduk et al 2001). Farouk et al 2001 – Essex-Kent Base Program, the Casino Windsor and the University of Windsor Worked together to gather in a period of five years from 1991 to 1999 of all cardiac arrests in Casino.