Hello, and welcome back to the Sydney HEMS debrief, focus on cardiac arrest.
This is the second half of our chat with Dr Hans van Schuppen from Amsterdam as we put the P back into CPR.
In today’s episode, we discuss amongst other things:
Lung recruitment intra-arrest
The impact of tidal volumes during arrest
To PEEP or not to PEEP during arrest
How to use ventilation to prevent acidosis during arrest
Join now as we continue to pick Hans’ brain, and as ever we hope you enjoy this and subsequent episodes.
Please remember to hit subscribe!
Here is a link to the text Hans’ references concerning common terminology of ventilation during cardiopulmonary resuscitation: https://pubmed.ncbi.nlm.nih.gov/39848430/
(Please excuse the re-post, poor editing on my part (Sam’s) means we are re-posting this episode)
Hello, and welcome back to the Sydney HEMS debrief, focus on cardiac arrest.
This is episode 3, and today it is all about ventilation during arrest. It is time to put the P back into CPR. Ventilation has been neglected in cardiac arrest management, and this two part episode focuses on how ventilation can not only help achieve a ROSC but the importance of ventilation too in achieving neurologically intact survival
We debate 30:2 or continuous ventilation and the merits of LMA vs intubation vs BVM
We talk about the complexities of heart lung interactions
Where the research is heading in understanding how best to ventilate these patients
We are delighted to be joined by an absolute expert in this area, Dr Hans van Schuppen from Holland.
Hans is an anesthesiologist and HEMS physician at the Amsterdam University Medical Centre. Hans is a combined researcher, clinician and leader. He is an ERC Advanced Life Support Course Director, co-founder of the ResusNL conference, member of the expert group on national ambulance guidelines on resuscitation and is a member of the jury of the Dutch National Resuscitation Competition. As a member of the Dutch Resuscitation Council, he co-authored the national resuscitation guidelines, and helped to develop and implement a nationwide standard operating procedure for the handover of out-of-hospital cardiac arrest patients.
Currently, Hans is the chair of the Medical Committee and board member of the Dutch Resuscitation Council. His research evolved into a formal PhD with the ARREST (AmsteRdam REsuscitation STudies) group and the department of Anesthesiology, resulting in his thesis “Prehospital Advanced Life Support”. He now serves as director of resuscitation science of ARREST and works towards close collaboration between clinical care, education, research and innovation in resuscitation.
We could not stop talking to Hans, so please tune back in next week for the second half of our conversation.
Hello, and welcome back to the Sydney HEMS debrief, focus on cardiac arrest.
In the second episode of this series, we talk to Dr Tommaso Scquizatto from Milan, Italy.
Tommaso is a Doctor, researcher and innovator in cardiac arrest, resuscitation, and emergency critical care medicine. He works in the Department of Anaesthesia and Intensive Care at IRCCS Ospedale San Raffaele in Milan, Italy, where he leads cardiac arrest research and innovation.
His clinical and research efforts focus on improving the entire chain of survival for out-of-hospital cardiac arrest, from prevention to advanced resuscitation, including the use of extracorporeal life support and novel technologies. He serves on the Advanced Life Support (ALS) Task Force of the International Liaison Committee on Resuscitation (ILCOR) and the 2025 Guidelines Working Groups for BLS, ALS, and extracorporeal CPR of the European Resuscitation Council (ERC). He is also an editorial board member and social media editor for Resuscitation and Resuscitation Plus.
With Tommaso in this episode, we talk about targeted physiology in cardiac arrest included targeted diastolic blood pressure, Tommaso’s research, and how systems and workflows may adapt to incorporate new intra-ACLS interventions such as transoesophageal ECHO.
We hope you enjoy the episode, please be sure to hit subscribe and tune back in next week,
Hello, and welcome back to the Sydney HEMS debrief, focus on cardiac arrest.
This is the first in a series of podcasts dedicated entirely to cardiac arrest, the physiology driving the clinical presentation and how we can more effectively use physiological principles and basic science to underpin clinical care and research.
In this week’s episode, we have the privilege of talking with Dr Paul Rees.
Who better to talk all things myocardial perfusion and it’s optimisation during cardiac arrest than an interventional cardiologist and pre-hospital physician. Paul explains the physiology of cardiac arrest from an interventional cardiologist perspective as we ask him the hard questions on:
Optimal diastolic blood pressure thresholds to improve ROSC
The role of adrenaline in improving coronary artery perfusion, the downside to it’s administration and the potential alternatives
The role of selective aortic aortic arch perfusion (SAAP), the current ERICA study and the potential for this procedure to improve cardiac arrest survival
The key elements in building a successful endovascular resuscitation program for those services wishing to embark on ECPR and/or REBOA
We hope you enjoy this episode, please contact Sam or Nat if you have any comments or questions.
Hello, and welcome back to the Sydney HEMS debrief!
Today, we are launching a mini-series focused on Cardiac Arrest.
Following the application of pre-hospital ECMO for refractory cardiac arrest in Sydney (the PRECARE study), we are taking a deep dive into some of the other global emerging research, management strategies and interventions being considered for cardiac arrest patients.
Join us for this multi-part series as we chat with world leading researchers and clinicians who are at the forefront of cardiac arrest debate, as we consider how we can best serve this diverse and heterogeneous patient group.
Throughout the series, Dr Samuel Bulford (Sydney) and Dr Natalie Kruit (Sydney) will be joined by guests from around the world, covering topics including but not limited to:
Ventilation strategies in cardiac arrest
Target blood pressures in cardiac arrest
How to measure and improve the effectiveness of chest compressions in cardiac arrest
Special patient groups (PE, toxicology, pregnancy)
And many more…
Guests include Prof Laurie Morrison (Toronto), Dr Paul Rees (London), Dr Hans van Schuppen (Amsterdam), Dr Felipe Teran (NYC) and Dr Tommaso Scquizzato (Milan) to name but a few.
It is time to get excited about cardiac arrest again, so tune in to learn how we can together improve patient outcomes, team performance and contribute to cutting-edge medicine.
Be sure to hit subscribe wherever you get your podcasts – episode one coming out tomorrow!
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