Discover and read the best of Twitter Threads about #ROSC

Most recents (5)

Session 1 : Starting with recapping #latest evidence in #ECPR with Drs James Raitt, Stuart Gilon, and Dr Nick Barrett with @doctorbrijpatel #UKECPR23 @Novicelearner9 @djlowcock @tamish @DineshCallum @MLSCourse
Dr James Raitt - Cons in EM and PHEM at Thames Valley Air Ambulance - cardiac arrest ; where are we now? #UKECPR23
Read 15 tweets
I want to thank the city of #Calgary for being such a gracious host as I attended the @recovery_summit this week. The "Alberta Model" is a blueprint for addiction treatment and recovery in North America. #ROSC #AlbertaModel Image
This model embraces the full continuum of care from harm reduction, including medically assisted treatment and OPS sites, all the way to residential treatment while keeping the focus on building recovery capital. ImageImageImageImage
With a plan to add thousands of beds in recovery based therapeutic communities, this model offers hope to those experiencing homelessness and substance use disorder. (addiction) by offering transitional housing after treatment. ImageImageImage
Read 5 tweets
Updates on Advanced life supprot by Theresa OLASVEENGEN

Vasopressors and Drugs : recent trial outcomes.
#LIVES2022
@ESICM #als #resuscitation
@ESICM 2020 ILCOR consensus : strong recommendation to use "ADRENALINE" in cardiac arrest, if you dont have it "LIDOCAINE".

Adrenaline to placebo comparison is mainly 1 older trial with latest PARAMEDIC 2

pubmed.ncbi.nlm.nih.gov/30980877/
@ESICM PARAMEDIC 2 - big study
8007 pts, adrenaline 4000, placebo 3999
- a lot of discussion post trial
- need a nuanced interpretation.
- 19 "more good" survivors and 5 "more bad" survivors in adrenaline arm.

nejm.org/doi/full/10.10ā€¦
Read 19 tweets
5 Critical Mental Models for Performing Under Pressure

Itā€™s dangerous to go alone! Take these:

- The Yerkes Dodson Curve
- The ITSO Matrix
- The Wedge Model
- The Island Chain Approach
- The Prepare - Perform - Recover - Evolve Cycle

šŸ§µ+ VideoĀ ā¬‡ļø
The Yerkes Dodson Curve

Inverse U or Bell-Curve relationship between performance and stress.

Figure out and leverage your optimal amount of stress - not too little, not too much.

If overloaded ("right shifted"), deploy tactics to bring you back to optimal ("left shift").
How much stress is ā€œoptimalā€?

What does being right shifted feel like?

What left shifts you back to center?

All these questions require experimenting on/with yourself - thereā€™s no one-size fits all answer.

Start by looking inward: when you're overloaded, how do you know?
Read 15 tweets
This week we will discuss #Ventilation during #Resuscitation. As a starter, weā€™d like to hear from you.

In your practice, which of the following ventilation parameters do you routinely measure during resuscitation?

@ERC_resus #ResusciTuesdays #ResusTwitter #CPR #ALS
Thanks a lot for all your answers.

Letā€™s reveal the right answer (and more) through this thread with this interesting information brought by @johannes_wittig
An incomplete story of excessive ventilation during #CPRā€¦
Ā 
In 2004, Aufderheide et al. investigated the harmful dimensions of ventilation during CPR. #OHCA CPR attempts of 13 adults were observed; .. (1)..
Read 17 tweets

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