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The Resus Room

Cardiac Arrest Centres

The Resus Room

Simon Laing

Science, Emergencymedicine, Medicine, Health & Fitness, Em, Ae

4.8678 Ratings

🗓️ 8 March 2017

⏱️ 19 minutes

🧾️ Download transcript

Summary

Centralisation of care for specialist services such as stroke, trauma and myocardial infarctions is becoming more and more common place. But where will it stop and what does it mean for the specialty of Emergency Medicine?

In this episode we have a look at a recent pilot RCT published in the journal of Resuscitation looking at the feasibility of setting up an bigger RCT to evaluate moving prehospital patients to a cardiac arrest centre. The paper itself is a great piece of work but the bigger discussion around the topic is also a really important point to consider.

Have a listen to the podcast, see what you think and please post you comments on the site for us all to see.

Enjoy!

Simon

References
 

A Randomised tRial of Expedited transfer to a cardiac arrest centre for non-ST elevation ventricular fibrillation out-of-hospital cardiac arrest: The ARREST pilot randomised trial. Patterson T. Resuscitation. 2017

Transcript

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0:00.0

Welcome to the Recess Room podcast.

0:03.8

Five, four, three, two, one, fire.

0:11.4

Coming up on this episode, because it is just a huge problem.

0:15.3

I mean, I think it's awful.

0:17.0

I think it's absolutely awful.

0:18.2

It is.

0:19.0

It's awful.

0:19.9

Because the long and short of it is you should be able to provide that level of care essentially at any hospital.

0:26.2

But, you know, it's just sad to think that for 10 or 15 years time, actually, you might not see any of that at your bog standard ED.

0:36.7

So hi, and welcome back to the Reusser Room podcast.

0:39.7

I'm Simon Lang.

0:40.6

And I'm Rob Fenwick.

0:41.8

And today we're going to be covering the topic of cardiac arrest centres.

0:47.6

Ooh, cardiac arrest centres.

0:49.2

Okay, fair enough.

0:50.1

That sounds like a good topic for us.

0:52.0

So most of us will probably be familiar with the idea of trauma centres in the UK

0:56.7

and the centralisation of care to specific specialist centres.

1:01.7

But how far along the line are we going to go with other areas of emergency medicine

1:05.5

and are we going to sub-specialise off the management of cardiac arrest?

1:12.3

What are your thoughts on doing that, Rob, before we start the paper?

1:15.0

That's a good question.

...

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