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Tag Archives: arrest
Cardiac Arrest Presentations
Here are slides from Dr David Gale’s two presentations given at the HEMS Education Day on 9 January 2019
Evaporating the nihilism in cardiac arrest
This 44 minute talk by Sydney HEMS consultant Dr Alex Tzannes was delivered at a recent rural medicine conference Evaporating the nihilism in cardiac arrest
Selective Aortic Arch Perfusion
Fascinating talk on the development of this resuscitative technology by Dr Jim Manning who appeared in person at our Clinical Governance Day. For further information check out EMCrit Podcast Episode 123
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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Paediatric arrest outcomes
A study of out-of-hospital paediatric arrests in Melbourne gives some useful outcome data: overall, paediatric victims of out-of-hospital cardiac arrest survived to leave hospital in 7.7% of cases, which is similar to adult survival in the same emergency system (8%). … Continue reading
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
Posted in General PH&RM
Tagged ALS, arrest, critical care, hypothermia, neuroprotection, retrieval
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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
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
Greater Sydney Area HEMS 