Shop Mattress Firm through July 11th to save big and sleep better. Use our special promo code “KNICKS10” for an extra 10% off your order.

Rob Major James Dundas Stemi patients are different from all oohca patients. There are bad prognostic markers that may suggest futility in STEMI (poor ph, prolonged resus, absence of bystander cpr with prolonged wait, failure to get ROSC)

The PATCH Team, led by Russell Gruen, a study of pre-hospital TXA for severe trauma in adults at high risk of acute traumatic coagulopathy treated in advanced trauma systems, has been published today in NEJM. #CCR23 Here’s a summary of what we did...
nejm.org/doi/full/10.10…

Ross Moy 🕷 Ryan McHenry There was discussion today about ECMO and where that sits, as it’s a skill that has other potential uses (OOHCA mainly) in PHCC

As a PHEM doctor, taking OHCA patients to cardiac centres, I’ve often had small studies quoted at me as to why the patient shouldn’t receive immediate angiography/PPCI. Perhaps no more… resuscitationjournal.com/article/S0300-…

Incisive comments from Flavia Machado who brings us back to earth 🌎 reminding us that in Latin Amer many OOHCA don’t reach hosp and so she only treats pts after in-hosp cardiac arrest 😞 we should be grateful for the advanced health systems! #CCR23 TAME Cardiac Arrest Critical Care Reviews

CAMILA•🦅•🦁•🇧🇷• Era un partido para que retome parte del equipo franco, le faltan minutos al pibe

⚜ Over 10 Million Downloads Worldwide
Jaw Dropping Graphics & An Amazing Story 🔥
This is an Incredible Fantasy RPG Game ⚜

Limited Gift For New Users 🎁 SUMMERAIDER23

Ya vi el primer capítulo de Black Mirror y quiero mas lpm

Eilidh Garrett 🦀 #LiveableNHSBursary NQPs will more often than not be the sole/lead clinician for majority of patients. Making decisions based on just history & vital signs. The leader/decision maker at medical&traumatic OOHCA. I would say the pay comparison is fair. We’re all in similar boats, & that boat has sunk.

Dr Thomas Keeble Sudden Cardiac Arrest UK Resuscitation Council UK I now regularly see pre-hospital OOHCA patients in VF or VT and wish we were nearer to you guys to give those patients the best chance.
I did f2 at BSUH many years ago when things were very different. I'm so proud and impressed to see you leading the way and changing the game.

#CCR23 : In the TAME trial involving patients with coma after out-of-hospital cardiac arrest, a strategy targeting mild hypercapnia for 24 hours did not improve neurologic outcomes at 6 months as compared with targeted normocapnia. nej.md/3p0Dsop

Que segundo tiempo asqueroso por dios, jugamos contra un par de conos

Rob Major The original paper quoted at the start of this thread, that patients who arrest have CAD isn’t the evidence to justify a major reorganisation of ITU capacity or unselective angio in all OOHCA.

TAME trial. Excellent work. Mild hyper capnea in OOHCA did not show any neurological/mortality benefit despite biological plausibility. #CCR23

TXA in trauma….the new adrenaline in OOHCA?

What would Europe look like if WW1 never happened?

OOHCA - consistently shown to have a high coronary artery disease burden.

Should we be pPCI-ing all those whose MIRACLE2 score is low?

Does the immediate neurological state make a difference here…?

Quedé manija ayer jaja

CAMILA•🦅•🦁•🇧🇷• Totalmente, zapiola por sosa era

Rob Major It’s not the presence of CAD that’s important it’s whether the (relatively large) opportunity cost of undertaking angiography in all these patients improves outcome. Most inferior infarction OOHCA the neurological response will determine outcome not whether or not the RCA is open

#CCR23 The TAME Cardiac arrest trial (OOHCA) large multi-centre randomised, blinded for outcome, assessing effect of mild hypercapnia PaCO2 50-55mmhg did not improve outcome nor did it worsen adverse events including cerebral oedema. Intervention duration 24hrs. NEJM today.👏👏👏

Really interesting study that nods to a couple of things we see when reviewing OOHCA cases in both Ambulance and HEMS settings.

If Bystander characteristics can be better understood then alongside whole pop training focused groups can be supported to become part of the chain.

Does witness type affect the chance of receiving bystander CPR in out-of-hospital cardiac arrest?
YZ Lo, Christopher et al.Resuscitation, Volume 0, Issue 0, 109873 doi.org/10.1016/j.resu…

Basta de sosa desde el arranque, por favor

Another great trial from #ccr2023 ! The Tame trial is slightly different as I wasn't expecting the result. Surpised a PaCO2 of 6.6-7.2kPa resulted in similar neurological outcomes to those with a more traditional 'neuroprotective' range. Much to learn about brain injury post OOHCA

Es una paja no poder decir nada