Tag Archive: CMP2

JC: Does Epinephrine work in Cardiac Arrest. St Emlyn’s

Epinephrine use in cardiac arrest is controversial1,2. Despite patho-physiological arguments3,4 that it can improve brain perfusion and even that it may improve the rate of ROSC (Return of Spontaneous Circulation) many have expressed the concern that this does not then…
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JC: Oxygen in the Acutely Unwell Patient. St Emlyn;s

When I started in medicine all resuscitation started with some form of supplemental oxygen. Whether that was by face mask, LMA or intubation, oxygen was the mainstay of initial treatment and you would even fail exams for not suggesting it…
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JC: Intubate or not intubate? That is the question…

    Clinical scenario: A multi-morbid, elderly patient with renal failure and recently diagnosed hyperkalaemia suffers a cardiac arrest in your busy resuscitation area before you can start appropriate treatment. You start CPR with a fully available team and give instructions…
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JC: Cardiac arrest centres and bypass. St.Emlyn’s

The concept of cardiac arrest centres is not entirely new and is something we’ve been talking about in Virchester for some time. Indeed, there are several articles in the literature and a fairly reasonable patho-physiological argument for them1–3. We know…
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JC. Pre-hospital therapeutic hypothermia: The RINSE trial. St.Emlyn’s

This week we look at the RINSE trial1, a trial examining the prehospital use of hypothermia in post cardiac arrest patients. Therapeutic hypothermia has had a bit of a rollercoaster ride over the last few years. It was all the…
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JC: Does EPO improve OOHCA outcomes? St.Emlyn’s

Here at St.Emlyn’s we are always interested in improving outcomes from serious illness and injury. In many cases the outcome for patients in terms of their quality of life is related to neurological function. Yet we are limited in what…
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JC: Arrested Developments. St.Emlyn’s

  Good quality, practice-changing prehospital research is difficult to come by for a number of reasons, not least the fact that the standalone specialty itself is in relative infancy. Issues of consent and ethics, combined with the very urgent nature…
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