Does the interval between two shocks matter in double sequential external defibrillation? This appraisal examines a secondary analysis in refractory out-of-hospital cardiac arrest, including the distinction between terminating ventricular fibrillation and improving survival.
A podcast recorded at the Premier Conference 2024 explores sudden cardiac death in young people. The accompanying notes cover recognition, inherited cardiac conditions, investigation and family screening, alongside the difficulties of assessing risk and choosing treatment.
Is persistent ventricular fibrillation the same as a rhythm that returns after a successful shock? This appraisal examines a secondary analysis of DOSE-VF, comparing outcomes in shock-refractory and recurrent VF and considering the implications for defibrillation strategy.
A review of an observational study comparing mechanical and manual CPR during in-hospital cardiac arrest. The appraisal examines survival outcomes and why patient selection, confounding and the timing of mechanical CPR make the results difficult to interpret.
Iain and Simon's December 2023 roundup covers prehospital transfusion decisions, e-scooter injuries, artificial intelligence in medicine and selective aortic arch perfusion. The episode brings together these posts alongside discussion of the state of UK emergency care.
How should clinicians decide who needs CT imaging for possible acute aortic syndrome? This appraisal examines the DAShED study's assessment of clinical decision rules and clinician judgement in UK emergency departments, highlighting the uncertainty that remains in this difficult diagnosis.
Practical perspectives on trauma care and team leadership.
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