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22 Oct, 4 tweets, 2 min read
Next @SueHResus will be talking about in-hospital cardiac arrest #RESUS20 @ResusCouncilUK @ERC_ALS_SEC @ERC_resus
ReSPECT has been a big development in UK resuscitation as it aims to create a greater conversation around advanced care planning!
The UK national cardiac arrest audit has input from 176 uk hospitals. This year has seen a slight decrease in incident of IHCA and in survival, but this year has been affected by COVID and may therefore not be comparable!
How else has COVID affected this year? Well there has been requirements for new guidelines on IHCA, there has been the need to train new staff starting work in nightingale hospitals, and there has been the need to work together closely as a team!

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More from @erc_young

Young_ERC Profile picture
22 Oct
First up @abbamamma discussing the size of the problem with dispatchers/HCPs not being exposed to high loads of cardiac arrest calls and seizure activity a confusing factor #RESUS20
Seizures are hard for lay responders and HCPs to recognise. You can check a pulse as an indication of cardiac arrest but this is hard to teach lay rescuers. Plus arrhythmia may cause a seizure. How do we tackle this?? #RESUS20 #CPR
Can AI help our dispatchers when trying to multi task: taking the call, talking to lay rescuer, dispatching EMS #RESUS20 is protocol with specific training or level of medical training a better system?
Read 13 tweets
Young_ERC Profile picture
22 Oct
The final talk of the @ResusCouncilUK session looks at Paediatric IHCA. @ERC_resus #RESUS20
From the NCAA data we know there are around 250 paediatric cardiac arrests in UK hospitals each year! A study over a 7 year period found the majority of arrests had non shockable rhythms (95.7%)
Despite these being associated with worse outcomes in adults, a survival to hospital discharge of 54.2% was seen.
Read 5 tweets
Young_ERC Profile picture
22 Oct
Now we hear from @perkins_gd as he talks about out of hospital cardiac arrest in the UK #RESUS20 @ERC_resus @ResusCouncilUK @ERC_ALS_SEC
There has been a steady increase in bystander CPR - there has also been an increase in bystander AED use but this value still sits below 10%
@NHSuk have developed a new telephone triage system to help with early recognition of OHCA to help strengthen that first link in the classic chain of survival!
Read 6 tweets
Young_ERC Profile picture
22 Oct
In our next talk, Kirstie Haywood from @warwickmed is speaking about cardiac arrest outcomes!

We know that life after survival from cardiac arrest has difficulties, with up to 55% of survivors having cognitive impairment at 6 months post cardiac arrest!
The majority of recovery is likely to occur in the first 3 months with minor improvement up to 12 months - after this, dysfunction is likely to be persistent!
Routine screening of cognitive function prior to discharge is recommended, followed by reassessment throughout the first three months!
Read 8 tweets
Young_ERC Profile picture
22 Oct
In the next session @Michael_T_Smith is taking the wheel as we hear about the latest updates from our (virtual) host resus council @ResusCouncilUK #RESUS20
Resus councils faced a difficult time this year as many training sessions were cancelled and staff diverted to clinical roles
We have long known that technology is the future - but now it’s clear that technology is now. This is relevant for both education of clinical staff but also for public engagement!
Read 4 tweets
Young_ERC Profile picture
22 Oct
And we're back with guidelines part 2! Updates on paediatrics, neonates, first aid and education! #RESUS20 @ERC_ALS_SEC @ERC_resus with @perkins_gd and @HSvavarsd
Paediatric update with Patrick Van de Voorde. If they look like an adult, use adult guidelines. BVM is first line. Oxygen is a drug and should titrate to 94-98%. Reassess frequently with fluid boluses #RESUS20
Paediatric updates! #RESUS20 @ERC_ALS_SEC @ERC_resus
Read 14 tweets

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