The September 2018 podcast roundup revisits airway management after out-of-hospital cardiac arrest, the Zero Point Survey and pulmonary embolism. Its linked reading also covers neonatal emergencies, equality in emergency medicine and reports from EMS Gathering, ResusTO and EuSEM, bringing together the month’s clinical and professional discussions.
Podcast – September 2018 Monthly Round Up 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
A 2017 ResusFriday session uses simulation and shared learning to examine cardiac arrest care, including team roles, reversible causes and dual-axis defibrillation. The post explains why enthusiasm for the latter needed to be tempered by the limited evidence available then.
Dual Axis Defibrillation & #ResusFriday at 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 intubation during in-hospital cardiac arrest improve survival? This 2017 appraisal examines a large US registry study that found an association with poorer outcomes, then considers confounding, missing procedural information and why observational data cannot settle the airway decision.
JC: Intubate or not intubate? That is the question… Read More
Should selected cardiac arrest patients bypass their nearest hospital for a specialist centre? This 2017 review examines a London pilot trial, explaining its narrow patient group and why demonstrating feasibility is different from establishing an improvement in survival.
JC: Cardiac arrest centres and bypass. St.Emlyn’s Read More
Could cold saline given during out-of-hospital cardiac arrest improve survival? This 2016 appraisal of RINSE examines an early-stopped randomised trial, its lack of demonstrated survival benefit and concerns about harm, while distinguishing intra-arrest cooling from temperature management after resuscitation.
JC. Pre-hospital therapeutic hypothermia: The RINSE trial. 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
