Wednesday 7th: Resuscitation
Today the focus is on Resuscitation and a look at where we are heading with cardiac arrest management. We have chosen a mixture of sub topics with the main goal of creating discussion around what the future holds in regards to cardiac arrest management. The final link leads to an incredible talk by Cliff Reid which has a great take home message and one that is not to be missed.
If during your browsing you come across points of interest which you feel would benefit conference delegates please forward the links onto us at info@emsconferences.com.au.
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To access the e-learning link please click the image below the text.
Intubation or Supraglottic Airway in Cardiac Arrest; AIRWAYS-2
The AIRWAYS-2 paper looks at the initial advanced airway management strategy for paramedics attending out of hospital cardiac arrests, essentially whether or not the aim should be to place a supraglottic airway device or an endotracheal tube when advancing from simple airway techniques. The study was a huge undertaking with many speculating over how the results would change practice, including discussion of how it may affect paramedic’s practice of intubation, all of which we cover in the podcast. This link will take you to a 60 minute discussion with the lead author of the paper and links to the paper itself.
Rethinking Adrenaline in Cardiac Arrest
"Recent meta-analyses have raised serious questions about the value of adrenaline, showing a benefit for achieving ROSC but no clear evidence of improved long-term survival. Controlled clinical trials to address this question are now underway. However, there is another important issue that needs to be addressed: the “route” of administration. With the growing interest in endovascular resuscitation, the use of intra-aortic adrenaline titration offers a means of rapidly and effectively delivering adrenaline to peripheral arterial effector sites while providing arterial pressure and CPP monitoring to guide titration of adrenaline doses to achieve an optimal hemodynamic effects while avoiding excessive adrenaline doses."
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HOW WE DO ED– ECMO
Dr. Shinar discusses all things extracorporeal membrane oxygenation (ECMO) and it's use in cardiac arrest patients. This talk is of particular relevance due to many hospitals in Australia using ECMO in the ED and even considering the benefits of its use in the pre-hospital environment.
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When should resus be stopped
This is a must watch 25 minute presentation by Cliff Reid and a heavily referenced talk in a lot of recent literature on when should resuscitation be commenced and stopped.
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