Share this page!

Enter Twitter Thread URL to Unroll

Needs to be the full URL like: https://twitter.com/threadreaderapp/status/1644127596119195649

How to get URL link on Twitter App

  1. On the Twitter thread, click on or icon on the bottom
  2. Click again on or Share Via icon
  3. Click on Copy Link to Tweet
  4. Paste it above and click "Unroll Thread"!
  5. More info at Twitter Help
Teddy Hla Profile picture
@teddyhla
Jun 19 • 10 tweets • 6 min read Twitter logo Read on Twitter
Next up Dr Stuart Gilon
discussing with detailed evidence. #UKECPR23 @tamishtah @iceman_ex @MLSCourse
@tscquizzato great work
onlinelibrary.wiley.com/doi/full/10.11…
Initial #shockable rhythm is better. ARREST trial remains key. Gotta talk about this when chatting the #ECPR thelancet.com/article/S0140-…
Bear in mind - ARREST trial selects shockable rhythm patient. But BLS is key. Looking at old study in Amsterdam pubmed.ncbi.nlm.nih.gov/12104106/
Difference in PE patients however. This is from Prague OOHCA post hoc analysis #UKECPR23 pubmed.ncbi.nlm.nih.gov/37172033/
jamanetwork.com/journals/jama/… Prague OOHCA study. Pre-hospital ROSC is highly beneficial.
#UKECPR23 Image
Final study: Dutch Multicentre study - median time to ECPR is however longer. and variable institutional experience. e.g., < 10 cases in 1 year. pubmed.ncbi.nlm.nih.gov/36720132/
High volume centres defined as >12 cases / year has significantly significant better outcomes journals.lww.com/ccejournal/Ful… @iceman
@MLSCourse
In summary - ECPR evidence from trial suggest evidence is greatest when truly refractory, initial rhythm is shockable and rapid initiation of ECPR @MLSCourse @tamishtah @iceman_ex #UKECPR23
@threadreaderapp unroll

• • •

Missing some Tweet in this thread? You can try to force a refresh
　

Keep Current with Teddy Hla

Teddy Hla Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @teddyhla

Teddy Hla Profile picture
Jun 19
Dr Nicholas Barrett, president of @EuroELSO discussing Research in this area, especially clinical data registries @iceman_ex @MLSCourse @tamishtah #UKECPR23
Image
But what #kind of #registries ? - Patient, Specialty, Device ? e.g., Abiomed Imeplla registry data. Regulatory process is different - FDA normally requires RCT. Abiomed registry data was compelling , resulting in +++ impella uptake in USA. #UKECPR23
Read 16 tweets
Teddy Hla Profile picture
Jun 19
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
#UKECPR23 Image
Read 15 tweets
Teddy Hla Profile picture
Oct 25, 2022
Carolyn Calfee Clinical and Biological phenotypes of ARDS
- what do they have in common?

ARDS : subgrouping since the begining
- sepsis vs. non sepsis
- hyper vs. hypoinflamm
- reactive vs uninflamed
#ventilation #ards #phenotypes #LIVES2022
Are clinical phenotypes biologically distinct?
looking at Trauma vs. Non trauma

ICAM-1 , SP-D, vWF, sTNFr-1 are different.
What about in "Direct" vs. "indirect"
or "Diffuse" vs "focal" -- sRAGE comes up again.

pubmed.ncbi.nlm.nih.gov/17944012/
#ventilation #ARDS #LIVES2022
Image
Read 13 tweets
Teddy Hla Profile picture
Oct 25, 2022
Mariangela PELLEGRINI
Uppsala- Sweden
"Do we Need a biological definition of ARDS"

- Berlin definition has NO Diffuse alveolar damage .
- the Berlin defn does not capture well
Frohlich - different definitions specificity of 0.63, 0.42, 0.31 even!
#ventilation #ards #LIVES2022
academic.oup.com/bja/article/11…
The BJA article by Frohlich.
Fibrosis only starts after 7 days
Thille article : atsjournals.org/doi/full/10.11…
In essence, different disease processes are happening to the lung at different times in the "ARDS"
pubmed.ncbi.nlm.nih.gov/24429204/
Read 14 tweets
Teddy Hla Profile picture
Oct 25, 2022
ARDS - new definition or phenotypes by @GicoBellani refreshing with Kigali definition of ARDS - useful not just low resource but during pandemic in supposedly high income settings and only draw back is no PEEp requirement #ards #ventilation #LIVES2022 @ESICM
@GicoBellani @ESICM Resolved versus confirmed ARDS
- prospectively applying Berlin definition did work but if ya wait 24 hrs and re-measure P/F ratio, you end up stratifying much better.
- Better separation of groups

pubmed.ncbi.nlm.nih.gov/29632996/
#ventilation #LIVES2022
@GicoBellani @ESICM Whichever definition - american european consensus or Berlin or Kigali -- all goes back to Ashbaugh original paper in 1967

thelancet.com/journals/lance…

Why are we so confused when it comes to ARDS definition ?

#ards #ventilation #LIVES2022 @ESICM
Read 12 tweets
Teddy Hla Profile picture
Oct 25, 2022
Next : Mypinder SEKHON on cardiac arrest in COVID-19 era.

Works in Vancouver
COVID 19 era cardiac arrest ARE a lot less sexy with all the PPE. #als #covid19 #resuscitation #LIVES2022
@ESICM
@ESICM Let's look at epidemiology. Northern Italy, Manhattan - COVID hit hard and has impact on other diseases.

e.g., OHCA in Italy during COVID 19 massive spike.
Read 9 tweets

Did Thread Reader help you today?

Support us! We are indie developers!

This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us on Twitter!

Send Email!

:(