The St.Emlyn’s Podcast Ep 275 - Targeted Resuscitation, Arterial Lines, Hydrofluoric Acid Burns Treatment and more (August/September 2025)
Nov 11, 2025
This discussion dives into fascinating advancements in resuscitation science. The hosts explore arterial line placements during cardiac arrest and the PECAN trauma rule for kids. They tackle the complexities of treating hydrofluoric acid burns and the innovative use of intra-arrest stellate ganglion blocks. Moral injury among emergency responders is candidly examined, while future predictions for emergency medicine spark intriguing debate. Plus, insights from the recent Geckos Global Health and Emergency Care Research Summit add a global perspective to the conversation.
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Physiology-First Resuscitation
- Physiological-targeted resuscitation is emerging as a paradigm shift in cardiac arrest care focused on measurable physiology, not just algorithms.
- Arterial lines during arrest help track diastolic pressure to guide resuscitation toward perfusion targets.
Use Arterial Lines To Guide CPR
- Consider placing arterial lines during cardiac arrest to measure diastolic pressure and guide perfusion targets.
- Expect technical difficulty and variable success, so train teams and review videoed arrests to improve performance.
Video-Reviewed Arrests From A Quaternary Center
- Simon described a quaternary center that videos arrests and attempted arterial lines in 82 of 375 arrests with mixed success.
- The study showed feasibility but no survival benefit, highlighting confounders and selection bias.