Last time in Roadside to Resus we discussed cardiac arrest with a view to obtaining a return in spontaneous circulation, ROSC.
However gaining a ROSC is just one step along the long road to discharging a patient with a good neurological function back into the community. In fact ROSC is really where all of the hard work really starts!
In this podcast we talk more about the evidence base and algorithms that exist to guide and support practice once a ROSC is achieved. We'd strongly encourage you to go and have a look at the references and resources yourself listed below and would love to hear your feedback in the comments section or via twitter.
References & Further Reading
Resuscitation to Recovery Document
Targeted Temperature Management at 33°C versus 36°C after Cardiac Arrest. Niklas Nielsen. N Engl J Med 2013
Immediate percutaneous coronary intervention is associated with better survival after out-of-hospital cardiac arrest: insights from the PROCAT (Parisian Region Out of hospital Cardiac ArresT) registry. Dumas F. Circ Cardiovasc Interv. 2010
Predictors of poor neurological outcome in adult comatose survivors of cardiac arrest: a systematic review and meta-analysis. Part 2: Patients treated with therapeutic hypothermia. Sandroni C. Resuscitation. 2013
Roadside to Resus; Cardiac Arrest
This podcast covers some highlights from the talks at the BASICS and The Faculty of Pre-Hospital Care 2017 Conference.
We were lucky enough to be invited by Caroline Leech to cover the day and managed to grab a couple of minutes with a handful of the superb speakers;
Dr. Tom Evens; Elite sports for high performance clinicians
Dr. Les Gordon; Pre-hospital management of hypothermia
Dr. Helen Milne; Retrieval and transfer medicine
Surgeon Commander Kate Prior; The battlefield
Dr Chris Press; Prehospital management of diving emergencies
Miss Aimee Yarrington; Obstetric Emergencies
Professor Mark Wilson; Pre-hospital Care, where are we going?
Thanks to all involved for making the podcast and for a great day at the conference, and to PHEMCAST for the collaboration!
Simon, Rob & Clare
Welcome back to October's papers podcast!
This month we have a look at a paper that shines further light on the use of ultrasound in predicting fluid responsiveness in the spontaneously ventilating patient. We look at a paper that sets to challenge the concerns over hyperoxia in presumed myocardial infarction. And lastly we look at how stress impacts in a cardiac arrest situation on the team leader's performance.
Make sure you have a look at the papers yourself and we would love to hear any feedback and alternative thoughts on the ones we cover! Lastly thanks for your support with the podcast
References & Further Reading
Relationship between non-technical skills and technical performance during cardiopulmonary resuscitation: does stress have an influence? Krage R. Emerg Med J. 2017
iSepsis – Vena Caval Ultrasonography – Just Don’t Do It!; EMCrit
JC: Oxygen in ACS. A fuss about nothing? The DETO2X Trial at St.Emlyn’s