Personal preparation for high-acuity, low-occurrence procedures goes beyond learning the physical technique. Part two of the HALO series explores decision triggers, managing stress, self-talk, mental rehearsal and focus, with an emphasis on deliberate practice before a crisis.
Training for HALO procedures. Part 2: Personal Preparation. St Emlyn’s Read More
Part one of the HALO series examines how to learn the physical skills needed for high-acuity, low-occurrence procedures. It compares training models, including task trainers and cadaver courses, and stresses the importance of practising what happens after the initial incision.
Training for HALO procedures. Part 1: Background and psychomotor skills. St Emlyn’s Read More
A 2022 appraisal of a randomised trial comparing double sequential, vector-change and standard defibrillation for refractory ventricular fibrillation. It examines survival outcomes, the limitations of a trial stopped early and the practical challenges of introducing alternative defibrillation strategies.
Alternate defibrillation strategies in refractory ventricular fibrillation Read More
A January 2022 appraisal of a randomised trial of routine calcium in out-of-hospital cardiac arrest. Laura Howard examines return of circulation, survival and safety concerns, including the implications of stopping the trial early and excluding patients with specific indications for calcium.
JC: Should we use calcium in out of hospital cardiac arrest? St Emlyn’s Read More
Does cooling to 33°C improve outcomes after out-of-hospital cardiac arrest? This 2021 review of TTM2 compares hypothermia with actively managed normothermia, examining survival, neurological outcomes, adverse events and why fever control should not be confused with leaving temperature unmanaged.
JC: The TTM2 trial. Normothermia or hypothermia post cardiac arrest. Read More
Could carotid ultrasound make pulse checks more reliable? Natalie May examines a proof-of-concept study using recordings from patients undergoing cardiac surgery, and explains why interpreting those images is a different challenge from obtaining and using them during a real cardiac arrest.
JC: Finger on the Pulse? Read More
How can resuscitation improve beyond knowing the next clinical intervention? Simon Carley’s conference teaching brings together preparation, team pauses, maintaining control of the patient, peer review and hot debriefs, with practical tools for thinking and learning under pressure.
Be a better Resuscitationist at #iMEDconference12 Read More
