PCI following ROSC

The Resus Room

Simon Laing

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

4.8 • 678 Ratings

🗓️ 25 July 2016

⏱️ 23 minutes

🔗️ Recording | iTunes | RSS

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Summary

If you've had an MI with a STEMI or a new LBBB the decision to go to the cath lab is pretty straight forward. If you've collapsed with a cardiac arrest of presumed cardiac aetiology (the majority of them) and gained a ROSC (return in spontaneous circulation) then the decision to go the the lab immediately is pretty variable and can depend of the clinicians involved, the ECG or the system within which you work.

The Resus Council and the European Society of Cardiology have some guidance on the topic and that is a must read. Today we have a look at a commonly quoted paper in the literature, The PROCAT database, to see if we can shed some light on the topic.

We'd love to hear feedback and comments on the podcast in the comments section. Enjoy!

References

2014 ESC/EACTS Guidelines on myocardial revascularization; page 2585

Resus Council; Post Resus Care section 6

Immediate percutaneous coronary intervention is associated with better survival after out-of-hospital cardiac arrest: insights from the PROCAT (Parisian Region Out of hospital Cardiac ArresT) registry. Dumas F. Circ Cardiovasc Interv. 2010 Jun 1;3(3):200-7. doi: 10.1161/CIRCINTERVENTIONS.109.913665. Epub 2010 May 18.

Transcript

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0:00.0	And out of ten Rob, how many got it in?
0:10.6	I think you'd one get it in, amazingly.
0:13.1	It's been superb so far.
0:14.4	It's been nothing but an enjoyable experience, Simon.
0:17.1	Thank you.
0:17.9	But they also included in intubation.
0:20.6	Really? I didn't see that.
0:21.9	Don't do this.
0:24.5	Welcome to the recess room podcast.
0:27.3	Five, four, three, two, one, fire.
0:34.9	So hi, and welcome to the new website and podcast, The Recess Room. So this is an emergency
0:41.5	medicine based phone project made up predominantly of podcasts on evidence-based topics. Each month
0:48.9	we'll be giving you paper reviews and also extra podcast on specific evidence-based and emergency medicine topics.
0:56.9	Go and check out the website if you're not already on it. That's theresistroom.co.com.
1:02.4	There you'll find all the podcasts, but in addition, you'll find paper scans, so each month
1:09.2	we'll publish a list of the hyperlinks through to the papers that we think will interest you.
1:14.6	Also got some paper summaries, so some infographics of the main findings from papers, strengths and weaknesses,
1:20.6	and again, we hope that this prompts you to go and have a look at the literature yourself.
1:24.6	Lastly, we've got a guideline section on the website.
1:28.3	You find that has got an easy navigation menu to help you find important guidelines for things
1:34.3	like airway management, CT scanning and all the sorts of things that you might need when you're
1:40.3	practicing emergency medicine in and around the recess room.
	...

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