Pre-Hospital Care Podcast Traumatic Cardiac Arrest with Richard Lyon
In this session we will examine the latest research and approaches to traumatic cardiac arrest with Richard Lyon. We will examine the demographics and diversity of pathology that clinicians see day to day within TCA. We will also examine survival rates, empirical research, blood products, the utility of high-fidelity simulation, and the importance of governance & debrief. We will also examine the usefulness of ultrasound and application in practice.
Richard Lyon is a Consultant in Emergency Medicine and Pre-hospital Care at the Royal Infirmary of Edinburgh and Clinical Lead for the Medic One team. He is a HEMS Consultant and Director of Research for Kent, Surrey & Sussex Air Ambulance. He studied at Edinburgh University where he developed close research links with the Scottish Ambulance Service. He undertook a unique doctorate thesis on out-of-hospital cardiac arrest, a project that has developed into a national strategy for cardiac arrest in Scotland.
In the episode we examine:
- A working definition of TCA
- Current thinking / acceptance of TCA algorithm differentiation
- Survival rates - Who are the survivors?
- Current empirical research
- What are the main domains of pathology
- Blood products in TCA
- High fidelity training.
- Internal governance and debrief.
- HF & Team dynamics within TCA
- Utility of USS
- Seminal cases.
- Final thoughts and take-home messages.
These are some of the latest algorithms related to TCA:
https://www.resus.org.uk/sites/default/files/2020-05/G2015_Traumatic_Cardiac_Arrest_Treatment.pdf
https://rcem.ac.uk/wp-content/uploads/2021/10/RCEM_Traumatic_Cardiac_Arrest_Sept2019_FINAL.pdf
https://fphc.rcsed.ac.uk/media/2577/tca-submission-oct-2018.pdf
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Please enjoy this episode with both an insightful and fascinating guest.