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22 Oct, 13 tweets, 9 min read
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?
Mike Smyth says Calling for help is the first and arguably most important step in the #chainofsurvival it relies on key words “consciousness” “breathing normally” #RESUS20 @ERC_resus apps such as @what3words @GoodSamApp and Pocket CPR are incredible resources everyone can use
Even trained providers when faced with a situation they’re not exposed to regularly can benefit from remote coaching of CPR using video link technology #RESUS20 #CPR @ERC_resus recognising the impact of stress is an important factor in providing good BLS
Can technology like smart watches/car incident systems give adequate reliable readings or are there too many false negatives? #CPR #RESUS20
AED discussion with @GiuseppeRist #RESUS20 they are safe for bystanders and should be easy to locate with apps such as @GoodSamApp
We need to overcome fear of AEDs. There are no data/reports of any damage from a bystander using an AED! Public engagement and teaching are key to increase the strength of this link in the chain #RESUS20
Lightening bolt signs and “to be used by trained professionals” are out dated and terms like “heart restarter” may make AEDs more public friendly #AED #RESUS20
Even kids can be safely taught to use an AED even if they aren’t strong enough to provide good quality chest compressions #RESUS20 #AED #CPR
Looking after our bystanders is very difficult and we don’t do it well. After they help there should be a contact number/someone to debrief with as resuscitation can be stressful and scary. Same with family witnesses. After care is important #bystander #CPR #RESUS20
Motivation of lay rescuers during Covid may decrease. Do we need to change our courses to include more caution about aerosolised risks? #RESUS20 #COVID19
Who will win: man or machine? In the age of AI should we still be relying on human training or let AI algorithms take over? #manormachine #RESUS20

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More from @erc_young

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
22 Oct
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!
Read 4 tweets
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
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
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
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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