Tag Archives: ALS

LMA to stoma ventilation

Level 1 evidence is great, but for useful tips that can add options to your resuscitation toolbox there are some great finds in journal letters pages. Try this one: An apneoic patient requires assisted ventilation in your resuscitation room. Bag-mask … Continue reading

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Resuscitation Guideline Changes

The European Resuscitation Council’s Summary of Major Changes in the 2010 guidelines can be downloaded here

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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

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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

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In-flight cooling after out-of-hospital cardiac arrest

Aeromedical retrieval specialists in Scotland developed a simple, cheap, effective in-flight cooling protocol using intravenous (IV) cold Hartmann’s solution and chemical cooling packs. Fluids cooled in a fridge (4°C) were transported in an insulated cool box; the patient was sedated, … Continue reading

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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

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Military pre-hospital thoracotomy

Military doctors in Afghanistan reviewed their experience of thoracotomy done within 24 hours of admission to their hospital. The ballistic nature of thoracic penetrating trauma (mainly Afghan civilians without body armour) differs from the typical knife-wound related injury seen in … Continue reading

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