Advanced interventions in the pre-hospital resuscitation of patients with non-compressible haemorrhage after penetrating injuries | Critical Care | Full Text

Early haemorrhage control and minimizing the time to definitive care have long been the cornerstones of therapy for patients exsanguinating from non-compressible haemorrhage (NCH) after penetrating injuries, as only basic treatment could be provided on scene. However, more recently, advanced on-scene treatments such as the transfusion of blood products, resuscitative thoracotomy (RT) and resuscitative endovascularContinue reading “Advanced interventions in the pre-hospital resuscitation of patients with non-compressible haemorrhage after penetrating injuries | Critical Care | Full Text”

Focused ultrasound in out-of-hospital cardiac arrest by advanced paramedics | Journal Of Paramedic Practice

Background: This study describes and evaluates advanced paramedic practitioner (APP) use of focused cardiac ultrasound (FoCUS) in out-of-hospital cardiac arrest (OHCA), and relates ultrasound findings with decisions to terminate resuscitation. The authors report characteristics of patients who do/do not undergo a FoCUS examination by APPs, ultrasound probe positions used and whether FoCUS findings were associatedContinue reading “Focused ultrasound in out-of-hospital cardiac arrest by advanced paramedics | Journal Of Paramedic Practice”

Randomized trial of the i-gel supraglottic airway device versus tracheal intubation during out of hospital cardiac arrest (AIRWAYS-2): Patient outcomes at three and six months – Resuscitation

Randomized trial of the i-gel supraglottic airway device versus tracheal intubation during out of hospital cardiac arrest (AIRWAYS-2): Patient outcomes at three and six months – Resuscitation — Read on http://www.resuscitationjournal.com/article/S0300-9572(20)30490-1/fulltext

JC: Can HEMS improve patient outcome in Traumatic Cardiac Arrest? St Emlyn’s — St.Emlyn’s

St.Emlyn’s – Emergency Medicine #FOAMed This week we are briefly looking at an interesting paper that suggests that HEMS services have much to offer in the management of traumatic cardiac arrest (TCA). We know that outcomes from TCA are poor, though arguably similar to the outcomes in medical cardiac arrest, but there is the possibility… viaContinue reading “JC: Can HEMS improve patient outcome in Traumatic Cardiac Arrest? St Emlyn’s — St.Emlyn’s”

CPR in TCA: A TLA PSA — The Collective

‘Don’t compress the chest in traumatic arrest…’ That’s the narrative. But Alan Garner has questions. Do you do chest compressions in traumatic cardiac arrest (TCA)? Don’t be dopey, right? Compressions are not important compared with seeking and correcting reversible causes. Indeed you can just omit the compressions altogether and transport the patient without them asContinue reading “CPR in TCA: A TLA PSA — The Collective”

Laryngeal tube outperforms ETT in OHCA

#Resuscitation Outcomes Consortium Pragmatic Airway Resucitation Trial : Laryngeal Tube vs. ETT. 72 hr survival (18.2% vs 15.3%), ROSC (27.9% vs 24.1%), hospital survival (10.8% vs 8.0), neurologically intact discharge (7.0% vs 5.0) all favoring LT with p=0.02 or less. pic.twitter.com/2NPnngxn5W — Russell Griffin LP, FP-C (@ResusFliteMedic) May 17, 2018

Prehospital doctor improves out of hospital traumatic arrest outcomes

Is physician involvement in prehospital #advancedlifesupport associated with increased chance of favorable outcomes after traumatic out-of-hospital #cardiacarrest? https://t.co/hvQWUO3MRr #VisualAbstract pic.twitter.com/rkAieRgDE1 — JAMASurgery (@JAMASurgery) April 25, 2018

Awake and Dead?

What do you do in cardiac arrest when your patient is “awake and dead” (CPR-IC)? It is a growing phenomenon and we take a mini deep dive on some of the more recent literature and techniques.#FOAMed #FOAMems #FOAMcc #ACLS #CardiacArresthttps://t.co/LJ0xzFDu6p pic.twitter.com/RjpCUYEJbY — Chip with TOTAL EM (@the_TOTAL_EM) January 30, 2018

Intubation in cardiac arrest

Another study on airway management in cardiac arrest was just published in JAMA. The study was done in Denmark, where all intubations elective and emergency are done by anaesthestetists. It was a retrospective study, where they matched intubated patients with … Continue reading → via INTUBATION IN ARREST – AGAIN —

Traumatic cardiac arrest with Ashleigh Lowther

Follow her on Twitter! @ashleighlowther The app mentioned for civilians response to terrorist incident is called Citizen Aid Really good app – “Citizen Aid” – that’s well worth downloading..especially given today’s events. Stay safe peeps… pic.twitter.com/cbpR0AYTcq — Clive Lewis MP (@labourlewis) March 22, 2017