Tag: CMP2

When to withdraw resuscitation in the Emergency Department. St.Emlyn’s with Richard Taylor.

When can and should we withdraw from continuing resuscitation in the ED? The standby phone rings: Post cardiac arrest patient, approximately 50. Intubated, BP 80/40, GCS 3. ETA 5 minutes. You meet the crew in

London Cardiac Arrest Symposium #LTC2015 St.Emlyn’s

London Cardiac Arrest symposium review 2015 #LTC2015 adrenaline epinephrine in cardiac arrest

PODCAST update with Mark Wilson on the GoodSAM app at the London Trauma Conference

    Earlier this year we published a blog on the GoodSAM app, a device developed by Mark Wilson and colleagues in London that has a real potential to save lives. Since then we have

JC: PARAMEDIC trial m-CPR at St.Emlyn’s

  In some ways you might be forgiven for thinking that 2014 was a bit disappointing in terms of EBM. A number of clinical trials that I’ve been looking forward to for some time have

JC: Getting Chilly Quickly 3. Hypothermia at St.Emlyn’s

In a rather strange co-incidence two articles landed on my desk this soggy Sunday morning. Firstly we have an RCT of intra-arrest therapeutic hypothermia published in Intensive Care Medicine. Secondly we have the ‘cool car‘.

JC: Does wave form analysis improve outcome in VF arrest? St.Emlyn’s

For those of us schooled through the Advanved Life Support courses I think we may be forgiven for thinking of Ventricular Fibrillation as a single condition. The treatment of VF follows a set algorithm that

JC: There’s no jump with a precordial thump. St.Emlyn’s

Sometimes you just feel like a bit of a fool. Like today when I wrote the post below and then asked Dr May to have a look at it. Can you guess her response? You

JC: What’s the target temperature for OOHCA cooling. St.Emlyn’s

Many thanks to the twitter FOAMites for alerting us to an online first paper in the NEJM on the use of therapeutic hypothermia post cardiac arrest. If you’ve followed St.Emlyn’s for any time then you

Getting Chilly Quickly 2…. Early hypothermia for ROSC?

By now, we all are thoroughly convinced as to the benefit of therapeutic hypothermia after cardiac arrest. (if you don’t do this in your hospital, you really should not be seeing OOHCA patients….).  In addition, the


Getting Chilly Quickly at St.Emlyn’s

I was having a chat with one of my Cardiac anaesthetist chums the other day about ‘stuff’ and in particular some of the rather interesting work appearing in the literature around the use of ECMO