The Resus Room Advancing Cardiac Arrest Care, SPEAR; Roadside to Resus
23 snips
Jul 22, 2025 Guests Jon Barratt and Paul Rees, experts in emergency medicine and resuscitation, dive into groundbreaking practices for cardiac arrest management. They explore the SPEAR course's innovative techniques, including endovascular resuscitation methods like REBOA and advanced blood pressure monitoring. The discussion highlights optimizing CPR for better coronary perfusion and the evolution of training programs in Europe. Listeners will also learn about practical strategies for enhancing outcomes in both pre-hospital and in-hospital settings.
AI Snips
Chapters
Transcript
Episode notes
Invasive BP More Accurate Than NIBP
- Non-invasive blood pressure often underestimates or overestimates actual pressures during critical illness.
- Invasive monitoring via femoral access provides more accurate data to guide resuscitation in cardiac arrest and neurotrauma.
Aortic Diastolic Pressure Drives ROSC
- Sustained aortic diastolic blood pressure drives forward coronary flow needed for ROSC.
- Diastolic pressure in the aortic root during CPR is key to achieving effective cardiac resuscitation.
Diastolic BP Threshold Predicts ROSC
- A diastolic BP threshold of 35 mmHg correlates with a coronary perfusion pressure above 15 mmHg.
- Achieving higher diastolic pressures during arrest increases likelihood of ROSC.