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Emergency coronary angiography in comatose survivors of out of hospital cardiac arrest (OHCA), in the absence of STEMI criteria on a post-resuscitation ECG, is controversial. High mortality and the implications on resource use, without robust criteria for the selection of appropriate candidates, has prevented clear guidance from the national societies. Our institution has adopted early involvement of a specialist team, consisting of an interventional cardiologist, emergency care physician and intensive-care anaesthetist, to initiate early assessment of patients. All survivors of OHCA, without an obvious non-cardiac aetiology, are transferred to the cardiac catheterisation laboratory for emergent angiography and intervention, if indicated, irrespective of presenting ECG, before admission to intensive care. We report the outcomes of this pathway with particular emphasis on the predictive value of the post …