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Session 1 : Starting with recapping #latest evidence in #ECPR with Drs James Raitt, Stuart Gilon, and Dr Nick Barrett with @doctorbrijpatel #UKECPR23 @Novicelearner9 @djlowcock @tamish @DineshCallum @MLSCourse
Dr James Raitt - Cons in EM and PHEM at Thames Valley Air Ambulance - cardiac arrest ; where are we now? #UKECPR23
Warwick 2021 registry: Asystole 51%, VF 22% - median EMS response time 7.4 mins. 57.5% declared dead on scene. admitted to hospital with ROSC 24.8% and 30-day survival 8.5% warwick.ac.uk/fac/sci/med/re… #UKECPR23
@tamishtah Paramedic 2(2018) study of adrenaline vs. placebo: but lets look at it for times. 999 arrival 6.6 mins, 30-day survival 3.2% (intervention) vs. 2.4% (control) nejm.org/doi/full/10.10…
#prolonged cardiac arrest. What does the critical care team have to offer? Bear in mind; relative exposure to cardiac arrest - even for more experienced paramedics >17 cardiac arrests in 3 years. 🤔 #UKECPR23 @tamishtah
Dr James Raitt starting with #airway management for #OOHCA. SGA is the way to go but Euro resus council ERC target > 95% success in 2 or fewer attemptts for tracheal intubation for exert. Unpublished data from air ambulances in UK, most air amb meets this. #UKECPR23
Defibrilation strategies for Refractory VF next #UKECPR23 What all this show is there there is #room for #improvement? What next : '#haemodynamic guided #CPR nejm.org/doi/full/10.10…
#SPEAR programme. Very interesting area. Quantifying the effects and ability to titration Rx. #UKECPR23 @tamishtah 
and #REBOA ? -the recent trial disappointing but more ongoing data and trial coming in.
- how about #headup #CPR? and CABARET - impedance threshold device?
- what about all 'bundled' together?
Next post #ROSC care - 1. airway Mx - drug induced TI vs. cold intubation #UKECPR23
- how about #headup #CPR? and CABARET - impedance threshold device?
- what about all 'bundled' together?
Next post #ROSC care - 1. airway Mx - drug induced TI vs. cold intubation #UKECPR23
In summary -
there is #scope for improvement
- bystander CPR & early defibrillation
- the more you do it , the more you get better thus need more dedicated teams
- look out for novel intervention (?haemodynamic guided CPR)
#UKECPR23
there is #scope for improvement
- bystander CPR & early defibrillation
- the more you do it , the more you get better thus need more dedicated teams
- look out for novel intervention (?haemodynamic guided CPR)
#UKECPR23
Dr James Raitt message : want to call cardiology services and other hospital specialists to share knowledge together and share vision. Especially #access to #cathlab.
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