ACLS in 2007 is NOT the ACLS of 2005 There are several ACLS courses online today. In spite of the fact that the complexity of previous ACLS guidelines may have contributed to the problem of poor courses, research in the early 1990s demonstrated that poor retention of skills did not originate with the learner or the program. The problem was with the instructor who talked too much, did not allow enough time for practice, and did not correct errors in performance. Lecturing is an economic way to communicate information to large groups. However, absorbing large amounts of information through passive listening is difficult and does not translate to skill. Research has established that multimedia (videotape Flash etc..) coaching self-instruction produces better performance in the field than instructor-led courses. The FACT remains the only ACLS procedure linked to survival is Defibrillation and Compressions. If your looking for which end of the epi is up, chances are your patient has expired! the new ACLS is embracing HIGH QUALITY CPR and rapid defibrillation. ACLS is okay to be delivered online, its no longer the definitave treatment for VSA. My two cents