Salim Rezaie’s St Emlyn’s Live 2018 presentation explores cognitive offloading during cardiac arrest care. The accompanying notes discuss CPR, vascular access, airway management, medication and PEA assessment, explicitly bringing together published evidence and ideas for consideration. This is a historical presentation rather than an updated resuscitation guideline.
Beyond A(C)LS. Salim Rezaie at #stemlynsLIVE Read More
The 2018 PARAMEDIC-2 trial challenged assumptions about adrenaline in cardiac arrest. Simon Carley examines the distinction between improved survival and favourable neurological outcomes, the trial’s patient selection and the competing arguments about practice, stressing why the results need more than a simple yes-or-no interpretation.
JC: Does Epinephrine work in Cardiac Arrest. St Emlyn’s Read More
What can early pupil responses tell us after cardiac arrest? This 2018 review examines a large French observational study, separating association with outcome from the ability to predict an individual patient’s recovery. It challenges decisions based on a single early finding and considers how prognosis is discussed.
JC: Do early pupil responses predict outcome in cardiac arrest? St Emlyn’s Read More
Should patients without ST elevation undergo early coronary angiography after cardiac arrest? This 2017 review examines mortality and neurological outcomes, then challenges the impressive apparent benefit by considering selection bias, retrospective studies and the limited randomised evidence available at the time.
JC: Should non ST elevation ROSC patients go to cath lab? St.Emlyn’s Read More
What happens beyond initial survival after cardiac arrest? This 2017 review of Danish registry data explores associations between bystander CPR or defibrillation and longer-term outcomes, emphasising that the analysis concerns 30-day survivors and cannot establish causation on its own.
JC: Bystanders make the difference in cardiac arrest. St.Emlyn’s Read More
Does cardiac activity on ultrasound predict survival after cardiac arrest, and does scanning itself improve outcomes? This 2016 appraisal of REASON examines those different questions, the study’s potential biases and why absent activity should not be treated as a definitive prognosis.
JC: Is this the REASON to use USS in cardiac arrest? St.Emlyn’s Read More
Could erythropoietin protect the brain after out-of-hospital cardiac arrest? This 2016 appraisal examines a French randomised trial that found no neurological or survival advantage and more adverse events, including thromboembolism, highlighting the gap between biological promise and demonstrated patient benefit.
JC: Does EPO improve OOHCA outcomes? St.Emlyn’s Read More
Two 2016 studies examine difficult questions in out-of-hospital cardiac arrest: whether amiodarone or lidocaine improves outcomes, and how resuscitation duration relates to neurological recovery. Natalie May considers study design, statistical uncertainty and why translating findings into bedside decisions needs care.
JC: Arrested Developments. St.Emlyn’s Read More
