Does adding REBOA to advanced life support improve outcomes in non-traumatic out-of-hospital cardiac arrest? This appraisal of REBOARREST examines the neutral trial results, delays to aortic occlusion and incomplete delivery of the intervention, and asks what remains uncertain.
Does prehospital whole blood improve outcomes compared with blood components in traumatic haemorrhage? We critically appraise the SWiFT randomised trial, including its findings on death or massive transfusion within 24 hours and the limits of testing a prehospital-only intervention.
Twenty-one years of London’s Air Ambulance data offer a closer look at prehospital resuscitative thoracotomy. This appraisal examines survival, timing and the distinction between tamponade and exsanguination, alongside the limits of applying an observational study from a mature urban service elsewhere.
The Sub30 study tested whether a London prehospital team could establish extracorporeal CPR within 30 minutes of cardiac arrest. This appraisal examines the logistical lessons, the small patient group and the distinction between demonstrating feasibility and showing a survival benefit.
Pre Hospital Extracorporeal CPR (ECPR) in the UK: The Sub30 study Read More
A London Air Ambulance cohort study explores partial REBOA for trauma patients with life-threatening bleeding and recent or imminent cardiac arrest. This appraisal considers feasibility, survival and patient selection, alongside the limits of a small observational study and the training and systems needed to deliver the technique.
