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Tag Archives: ACLS
‘Real life experience in OHCA expedited versus standard management’ – presented by Harry Reeves
The Paramedic experience of managing patients included in the EVIDENCE Trial. This post was written by Dr Shannon Townsend, HEMS registrar. The ACE Training Centre recently hosted the 2022 NSW Ambulance Out-Of-Hospital Cardiac Arrest Symposium, with the theme of the … Continue reading
Posted in ECMO, General PH&RM, Research
Tagged 1.2.8, 7.1.1, 7.1.2, ACLS, Prehospital, Research
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Swimming the Channelopathy
Drowning is one of the leading causes of accidental death in children. Some apparent drownings may be related to sudden cardiac death, in particular to unidentified channelopathies, which are known to precipitate fatal arrhythmias during swimming-related events. The majority of … Continue reading
Posted in General PH&RM
Tagged ACLS, APLS, arrest, diagnosis, dysrhythmia, ECG, paediatric
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Passive leg raising during CPR
Measuring end-tidal carbon dioxide (ET CO2 ) is a practical non-invasive method for detecting pulmonary blood flow, reflecting cardiac output and thereby the quality of CPR. It has also been shown to rise before clinically detectable return of spontaneous circulation … Continue reading
CAB rather than ABC
The 2010 ILCOR resuscitation guidelines were published today. Key changes and continued points of emphasis from the 2005 BLS Guidelines include the following: Sequence change to chest compressions before rescue breaths (CAB rather than ABC) Immediate recognition of sudden cardiac … Continue reading
New CPR Guidelines
The International Liaison Committee on Resuscitation has published its five-yearly update of resuscitation guidelines. The American Heart Association Guidelines can be accessed here The European Resuscitation Guidelines can be accessed here 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and … Continue reading
Pre-hospital cooling post arrest
An Australian randomised controlled trial assessed the effect of pre-hospital cooling (using 2 litres ice cold Hartmann’s) of post-cardiac arrest patients on functional status at hospital discharge. The intervention group were marginally cooler on arrival but did not have improved … Continue reading
Posted in General PH&RM
Tagged ACLS, arrest, critical care, hypothermia, outcome, pre-hospital
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ETCO2 and ROSC
One for the ‘hardly surprising’ category…. A study of end-tidal CO2 during out-of-hospital adult and child cardiac arrest resuscitation showed a sudden rise in CO2 was associated with return of spontaneous circulation (ROSC), suggesting that witnessing this would be a … Continue reading
Hospital bypass for cardiac arrest?
A Japanese study of over 10,000 patients demonstrated improved neurological outcome in out-of-hospital cardiac arrest patients who were taken to hospitals designated as ‘critical care medical centres’, where neurologically favorable 1-month survival was greater [6.7% versus 2.8%, P < 0.001] … Continue reading
Distance to hospital did not affect arrest survival
In a study of over 7500 patients with cardiac arrest transported by EMS in the United States, transport distance was not associated with survival on logistic analysis (OR 1.00; 95% CI 0.99–1.01). A geospatial assessment of transport distance and survival … Continue reading
Kids need 'proper' CPR if non-cardiac cause of arrest
The American Heart Association recommends cardiopulmonary resuscitation (CPR) by bystanders with chest compression only for adults who have cardiac arrests, but not for children. These recommendations have new support in a large observational study from Japan examining outcomes in 5170 … Continue reading
Greater Sydney Area HEMS 