Welcome back to May’s papers of the month!
First up this month we’ll be looking at an RCT focussed on prehospital intra-arrest management and comparing an early move in arrest towards ECMO-CPR and invasive treatment, versus remaining on scene continuing ALS until achieving a ROSC. Does E-CPR hold the promise we are hoping for?
Next up we take a look at another RCT on pad placement for electrical Cardioversion-BMI of AF, are antero-posterior pads superior to the standard antero-lateral position?
Finally we look at the potential for remote supervision of pre-hospital ultrasound, has technology moved the bar in what can be achieved?
Once again we’d love to hear any thoughts or feedback either on the website or via twitter @TheResusRoom.
Simon & Rob
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Effect of Intra-arrest Transport, Extracorporeal Cardiopulmonary Resuscitation, and Immediate Invasive Assessment and Treatment on Functional Neurologic Outcome in Refractory Out-of-Hospital Cardiac Arrest: A Randomized Clinical Trial. Jan Belohlavek. JAMA. 2022