The Young ERC webinar has commenced! We will be talking all about Stress and Resuscitation. You can watch along live on our Facebook facebook.com/YoungERC.resus and we will be tweeting about the key takeaway points as we go!
Our first talk is from Kate Vasey who will be talking about the importance of self care!
When we are faced with stress we make an assessment about what we CAN do and what the task will involve. We then make an assessment about whether we can undertake that task and depending on how easily we think we can do it, our body will produce a stress response!
Our capability isn't just made up by things that we have the skills to be able to do. Our current emotional state and previous experiences play into what we think we can do at a given time.
Our emotional state is complex. But in order to meet our psychological needs and self-fulfillment needs we need to initially ensure that our basic needs are being met.
So first we need to focus on our basic needs. Ensure that we are getting enough to eat and getting enough sleep. Particularly in the current difficult situation where things such as Friendships are under strain, it is important to make sure we look after what is under our contol.
Our body has several systems which determine mental state. The stress system is very sensitive as it wants to ensure it meets every danger. But it's not very specific so much of the time we will be activating our stress system without any need!
One way to calm yourself can be to draw out these 3 systems and think about how much time you are giving to each one at the moment. If you realise they are out of balance you can think about how to try and restore the balance!
Everyone has their own way of trying to restore their balance - but here are some tips for helping to activate your soothe pathway!
Now we are about to do some soothing breathing LIVE, so if I don't tweet for the rest of the webinar I've probably been over soothed and fallen asleep!
And in the world of work how can we help ourselves calm down and soothe? This end of shift checklist is a great place to start!
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Welcome to this weeks #ResusciTuesdays. We will be learning about REBOA in medical cardiac arrest. REBOA stands for ‘Resuscitative Endovascular Balloon Occlusion of the Aorta’. Its aim is to occlude the aorta and therefore improve blood flow to the brain and coronary vessels.
REBOA is sometimes talked about alongside other interventions in cardiac arrest such as ECMO and SAAP (Selective Aortic Arch Perfusion - learn more here: intensivecarenetwork.com/selective-aort…). In this we will just be talking about simple balloon occlusion.
In Trauma, REBOA is used by some services to prevent exsanguinating haemorrhage. There is still a lot of ongoing debate about its use in Trauma, but it has been incorporated into clinical practice in places and there are ongoing trials such as @UKREBOATrial
Next our very own @ABichmann will be talking about debriefing in resuscitation!
First we hear about how stress and anxiety manifest themselves and about how COVID has heightened many of these feelings!
There are many different factors in stress and the impact that it may have. Some stresses are single events. Some may recur and if they recur enough then you may not have time to recover and these may turn into chronic stresses
Our next talk is Patrick Druwe talking about the REAppropriate trial!
To put these results into context we first will talk about the outcomes after OHCA
In Japan there is a high rate of resuscitation attempts in patients who may not have a resuscitation attempt elsewhere! There is therefore a high rate of non-shockable OHCA and these have poorer outcomes!
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?
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!