Tag: cardiac arrest
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 preserve neurological function as this …
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 advocated alternatives are EtCO2 increase …
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 someone much cleverer than me …
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 conflicting1–6. From a pathophysiological perspective the logic of using closed chest compressions in a patient who has …
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 release. And in December at …
Beyond A(C)LS. Salim Rezaie at #stemlynsLIVE
Ed – This blog is based on the talk Salim gave at #stemlynsLIVE in Manchester back in September 2018. The background and data below was first published on the REBEL EM website and is reproduced here …
JC: Does Epinephrine work in Cardiac Arrest. St Emlyn’s
Epinephrine use in cardiac arrest is controversial1,2. Despite patho-physiological arguments3,4 that it can improve brain perfusion and even that it may improve the rate of ROSC (Return of Spontaneous Circulation) many have expressed the concern …
JC: Do early pupil responses predict outcome in cardiac arrest? St Emlyn’s
Imagine yourself in the resus room. You’ve just got Return of Spontaneous Circulation (ROSC) on a patient who was in cardiac arrest. They had excellent bystander CPR and an early shock from an Automatic External …
JC: Should non ST elevation ROSC patients go to cath lab? St.Emlyn’s
It’s another busy day in Virchester and you are put on standby for a 68 year old male who has had an out of hospital cardiac arrest. Fortunately it was a witnessed arrest and there …
JC: Bystanders make the difference in cardiac arrest. St.Emlyn’s
A quick journal club this week in what’s been a very busy few days. As you know we were at the BMJ Awards this week. We had a fabulous time but our section was won …
