JC: ECPR for refractory OOHCA. St Emlyn’s
the use of Extracorporeal Cardiopulmonary Resuscitation (ECPR) has been considered by many resuscitationists as the next logical step in the management of cardiac arrest. But is it?…
cardiac arrest
What’s the down time? St Emlyn’s
There is one question that is always asked when a patient who has experienced a cardiac arrest is brought to the ED. What’s the downtime? (Nearly) Every team leader in …
JC: Alternate defibrillation strategies in refractory VF. The DoseVF trial. St Emlyn’s
Early defibrillation is a key step in the management of cardiac arrest patients patients with VF/VT In many cases defibrillation does indeed revert the patient to a better rhythm, but …
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JC: The TTM2 trial. Normothermia or hypothermia post cardiac arrest.
A quick update on an TTM2 trial published in the NEJM last month. As part of the chain of survival it’s important to optimise the post resuscitation phase, primarily to …
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JC: Finger on the Pulse?
If you’re an avid follower of FOAM, you’ll have seen many assertions that manual pulse checks by healthcare providers during cardiac arrest are pretty unreliable at best. The most commonly …
JC: Pseudo PEA in the ED. St Emlyn's
I don’t know if this has ever happened to you but when I was still a registrar, often I’d be in the midst of a resuscitation or major trauma case …
JC: Should we use chest compressions in traumatic cardiac arrest? St Emlyn’s
This is a question that we’ve addressed on the blog before and the evidence has been a little conflicting​1–6​. From a pathophysiological perspective the logic of using closed chest compressions …
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JC: Do you see the light? Serum neurofilament light chain for prognostication following OOHCA
I’ve been meaning to do a blog on this paper for some time now. Paul Young, who’s opinion I have a lot of time for, seemed clearly excited about its …