The St.Emlyn’s Podcast Ep 269 - Monthly Round Up Janury 2025 - Prehospital Papers Galore!....
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May 14, 2025 Dive into groundbreaking research as the hosts discuss the Sub 30 feasibility study for pre-hospital ECMO, highlighting its rapid implementation challenges. They compare emergency anaesthesia practices between pre-hospital and in-hospital settings, uncovering variations in patient care. Learn about the effectiveness of physician-led pre-hospital teams and their potential impact on outcomes. The economic implications of advanced interventions in emergency care are also explored, alongside insights from the London Trauma Conference. Don't miss this eye-opening discussion!
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Challenges of Pre-Hospital ECMO
- The Sub-30 Feasibility Study showed that pre-hospital ECMO within 30 minutes is ambitious but currently unachievable.
- Early outcomes were poor, highlighting challenges in implementing this advanced intervention at scale.
Pre-Hospital Emergency Anesthesia Benefits
- Consider performing emergency anesthesia pre-hospital to save critical time compared to waiting until hospital arrival.
- Early airway control is especially beneficial in traumatic brain injury cases for improved outcomes.
Deciding When To Perform RSI
- Iain Beardsell recalls the intense thought process at scenes deciding whether to perform risky procedures pre-hospitally or wait for hospital.
- He notes pre-hospital teams often favor doing the intervention quickly to leverage their skills and momentum.