July 2017

Here are the papers that caught our eye over the last month, many of these will go onto form the topics for our monthly podcasts and topics which you can subscribe to here. Cardiac Arrest Prehospital advanced cardiac life support for out-of-hospital cardiac arrest: a cohort study. Cournoyer A, et al. Acad Emerg Med. 2017. Double sequential defibrillation therapy for [...]

Papers of July ’17

We're back with 3 superb topics this month! First off we have a look at the utility of ultrasound for the detection of pneumothoraces in the context of blunt trauma. Next we look at the need to scan facial bones when scanning a patient's head following trauma. Last of all we look at a paper reviewing the association [...]

Double Sequential Defibrillation

I was faced with this situation when called to support an ambulance crew who were resuscitating an out-of-hospital VF arrest. When benchmarked against the ALS guidelines their management had been exemplary, but the patient remained in VF after eight shocks. So what now? The UK Resuscitation Council doesn’t specifically discuss rVF, but offers the advice that it is “usually worthwhile continuing” if the patient remains in VF. Not a particularly controversial statement, but not [...]

Mechanical CPR

High quality manual cardiopulmonary resuscitation (CPR) with minimal delays has been shown to improve outcomes following out-of-hospital cardiac arrest (OHCA). There are concerns that the quality of CPR can diminish over time and as little as 1 minute of CPR can lead to fatigue and deviation from the current recommended rate and depth of compressions. [...]

June 2017

Here are the papers that caught our eye over the last month, many of these will go onto form the topics for our monthly podcasts and topics which you can subscribe to here. Cardiac Arrest Effectiveness of different compression-to-ventilation methods for cardiopulmonary resuscitation: A systematic review. Ashoor HM, et al. Resuscitation. 2017. Airway Emergency airway management in Australian and New [...]

Papers of June ’17

We're back with another look at the papers most relevant to our practice in and around the resus room. The WOMAN trial was a huge trial that looked at tranexamic acid in post partum haemorrhage, it's gained a lot of attention online and we kick things off having a look at the paper ourselves. Next [...]

BTS 2017 Oxygen Guideline

Oxygen is probably the drug that we give the most but possibly has the least governance over.  More has got to be good except in those at high risk of type II respiratory failure right?? Well as we know the evidence base has swung to challenge that idea in recent years and the new BTS [...]

Troponin Rule Outs

How many patients are admitted from your ED with suspected cardiac chest pain? What strategy of testing do you employ to rule out acute myocardial infarction? When and why do you send troponins in this process? In this podcast Ed Carlton, Emergency Medicine Consultant at North Bristol Hospital and Troponin Researcher, talks to us about [...]

May 2017

Here are the papers that caught our eye over the last month, many of these will go onto form the topics for our monthly podcasts and topics which you can subscribe to here. Cardiac Arrest Does transport time of out-of-hospital cardiac arrest patients matter? A systematic review and meta-analysis. Review article. Geri G, et al. Resuscitation. 2017. Airway Direct Versus [...]