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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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.
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!
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!
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!
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!
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