Whilst the new #RESUS21 guidelines don’t introduce any significant changes, here are some take homes that I believe are worth highlighting. A thread....
#FOAMed #FOAMems #cardiacarrest #resuscitation
#FOAMed #FOAMems #cardiacarrest #resuscitation
“Ambulance services should monitor staff exposure to resuscitation and low exposure should be addressed to increase experience”
It will be interesting to see if, and how, ambulance trusts follow this guidance.
It will be interesting to see if, and how, ambulance trusts follow this guidance.
“Adult patients with non-traumatic OHCA should be considered for transport to a cardiac arrest centre”
Pathways for OHCA in the U.K. have been variable. Will this stimulate more standardisation? Prehospital staff need to nail the post-ROSC care bundle. Transport times longer?
Pathways for OHCA in the U.K. have been variable. Will this stimulate more standardisation? Prehospital staff need to nail the post-ROSC care bundle. Transport times longer?
“Antero-lateral pad position for initial pad placement. Ensure lateral pad is in mid-axillary line just below armpit (V6 lead position)”
In my experience this pad can be placed too far below this point. A timely reminder
In my experience this pad can be placed too far below this point. A timely reminder
“A shock can safely be delivered without interrupting mechanical chest compression”
Certainly reflects my practice but there has been debate over this in the past.
Certainly reflects my practice but there has been debate over this in the past.
“Do not use double sequential defibrillation for refractory VF outside the research setting”
Had to cover this! I’m surprised they’ve come down so hard on DSD given the lack of evidence of harm. Maybe because of the increased interest in eCPR?
Had to cover this! I’m surprised they’ve come down so hard on DSD given the lack of evidence of harm. Maybe because of the increased interest in eCPR?
“Once a Supraglottic airway has been inserted continue chest compressions without pausing during ventilations”
Another area of practice which we’ve been uncertain about. Not sure about a didactic rule on this. Check seal/leak and adjust practice on each patient as necessary?
Another area of practice which we’ve been uncertain about. Not sure about a didactic rule on this. Check seal/leak and adjust practice on each patient as necessary?
“Give IV fluids ONLY where the cardiac arrest is caused by or possibly caused by hypovolaemia”
An interesting change of wording, asking us to really consider the H’s and T’s, treating only if appropriate rather than a scattergun approach
An interesting change of wording, asking us to really consider the H’s and T’s, treating only if appropriate rather than a scattergun approach
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