What does cardiac movement on ultrasound mean when no pulse can be felt? This 2019 review explores pseudo-PEA, its distinction from cardiac standstill and reported outcomes, while highlighting the limited evidence for proposed treatment changes and the need for further research.
JC: Pseudo PEA in the ED. St Emlyn's Read More
Simon Carley reports from the European Resuscitation Council meeting in Slovenia in 2019. Alongside reflections on early recognition, CPR and defibrillation, the post includes a conference podcast and discussion of the continuing debate over temperature management after cardiac arrest.
European Resuscitation Council meeting: Slovenia 2019. St Emlyn’s Read More
Does a McGrath videolaryngoscope improve first-pass intubation compared with a Macintosh laryngoscope in prehospital care? This 2019 appraisal examines a randomised trial, including its early termination, crossover between devices and the limits of drawing a clear verdict from the results.
JC: Macintosh vs. McGrath laryngoscopy in pre-hospital care. Read More
What can an animal study tell us about chest compressions in traumatic cardiac arrest? This 2019 appraisal examines a haemorrhage model in pigs, the role of blood resuscitation and the substantial limits of applying those findings to patients with different causes of arrest.
Should we use chest compressions in traumatic cardiac arrest? Read More
Can helicopter emergency medical services improve survival after traumatic cardiac arrest? This 2019 appraisal examines a retrospective UK cohort, distinguishing procedures and return of circulation from survival to hospital discharge, and questioning what a small, uncontrolled dataset can tell us about benefit.
JC: Can HEMS improve patient outcome in Traumatic Cardiac Arrest? St Emlyn’s Read More
Could serum neurofilament light chain help predict neurological outcomes after out-of-hospital cardiac arrest? Dan Horner’s 2019 appraisal examines an analysis of TTM trial samples, considering promising test performance alongside validation gaps, false predictions and the risks of relying on a biomarker in isolation.
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
Which advanced airway strategy should come first in out-of-hospital cardiac arrest? This 2018 review compares AIRWAYS-2 and PART, examining supraglottic devices and tracheal intubation. It considers trial outcomes alongside operator experience, training and the practical realities of prehospital resuscitation.
JC: OOHCA and Airway management. Do we need a tube? St Emlyn’s Read More
