EXACT-CPR trial TOE-guided CPR improves physiology (↑ETCO₂) but not outcomes in OHCA. Maybe the issue isn’t what we do, but when we do it. Cardiac arrest care is shifting from algorithms to physiology—but we’re not there yet. #FOAMed #Resus

https://www.stemlynsblog.org/toe-guided-cpr-in-out-of-hospital-cardiac-arrest-physiology-over-algorithm/

TOE-Guided CPR in Out-of-Hospital Cardiac Arrest: Physiology Over Algorithm?

Does targeting the left ventricle during CPR improve outcomes in cardiac arrest? We review the EXECT-CPR trial and explore the shift from algorithm-based to physiologically guided resuscitation.

St.Emlyn's

Peri-op cardiac arrest - how can we do better?

• team briefings
• in situ multidisciplinary simulation
• teaching generic cardiac arrest team competencies
• mandatory training for rare anaesthetic events

#medicine #MedMastodon #anaesthesia #resus

https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.16487

The rate of peri-op cardiac arrest is strongly associated with a country's human development index (based on per capita income, literacy, life expectancy & enrolment in further education).

This presumably reflects more highly developed healthcare systems in high-HDI countries and the associated health of the patients.

#HealthEquity #medicine #MedMastodon #healthcare #resus

https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.16487

I work for the #NHS but don’t often have call to use it. #Tonight was a little different.

It involved three blue light transfers and several hours in #Resus.

I have never ever received such a timely and responsive service before, but when I needed it, it was there.

#Today is #Day241 of #365HappyDays and whilst my medical emergency is no reason to be #happy, the care and treatment I received most certainly is. I’m extraordinarily #grateful.

Don’t let the Tories destroy it. Please. #GTTO

Coming soon!

Osler will soon release a series of online ALS modules, featuring general management, algorithms, pharmacology, reversible causes, ethics, specific circumstances, an interactive sim and more!

Follow me to stay informed

#medtwitter #meded #FOAMed #FOAMcc #tipsfornewdocs #medmastodon #resus #FOAMresus #ALS #juniordoctors #emergencymedicine #emergencyphysician #intensivist #intensivecare