 Certain remote communities have set up their own individual Cardiac First Response programmes, where various people in the area are trained to PHECC Level 1 (CFR) standard and are provided with an Automated External Defibrillator.These responders can then be called or paged to the scene of a cardiac arrest to provide CPR and defibrillation, where the increased response time of an ambulance would greatly affect the patient's outcome.Practitioners must maintain their place on the register annually in order to practice.