PCI-capable hospitals become ideal can- didates to serve as Level I cardiac resuscitation centers that can offer a wide range of services, including timely PCI when indicated, a goal-directed care bundle,202,203 therapeutic frequent or continuous electroencephalo- graphic monitoring, a multidisciplinary team approach, and neuropsychiatric evaluation for survivors. All other partici- pating hospitals should be trained and equipped as Level II cardiac resuscitation centers, which are capable of initiating therapeutic hypothermia and transferring patients for primary postresuscitation care. Ideally, out-of-hospital cardiac arrest outcomes should be measured and compared within a dedi- cated registry. Lastly, it is important for organizations that collect and publicly report STEMI and PCI data to consider resuscitated out-of-hospital cardiac arrest patients separately from their hospital and individual operator quality score- cards because such patients, even with optimal care, have a much higher mortality rate than that of patients with STEMI who have not had a cardiac arrest.204 206 Public reporting in this instance might have the unintended consequence of reducing appropriate care.207 4. Reperfusion at a PCI-Capable Hospital 4.1. Primary PCI 4.1.1. Primary PCI in STEMI: Recommendations See Table 2 for a summary of recommendations from this section. Class I 1. Primary PCI should be performed in patients with STEMI and ischemic symptoms of less than 12 hours (Level of Evidence: A) 2. Primary PCI should be performed in patients with STEMI and ischemic symptoms of less than 12 hours duration who have contraindications to fi- brinolytic therapy, irrespective of the time delay (Level of Evidence: B) 3. Primary PCI should be performed in patients with STEMI and cardiogenic shock or acute severe HF, irrespective of time delay from MI onset (Section (Level of Evidence: B) Class IIa 1. 