Greater Sydney Area HEMS

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!