CME 31/7/14 – When to stop resuscitation?

When to stop resuscitation? from SCGH ED CME

Here is Dan’s discussion on the factors that may influence when to continue or cease resuscitative efforts.

Resources:

Video Lectures:

Weingart tackles the dogma and evidence around resuscitation algorithms brings us the concept of truely advanced life support.

Scott Weingart Cutting Edge Intra-Arrest Care from SMACC Conference

The ABC’s of practicing what we preach. Cliff Reid examines the over-complication of resuscitation and our need to return to the basics.

Starting & Stopping Resuscitation:

• Article from Circulation 2010 “2010 AHA Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care – Part 3: Ethical aspects of CPR and ECC”  – contains some useful suggestions on when to cease or not start CPR
• “Cessation of CPR” from Chris Nickson LITFL

ETCO2:

• “END-TIDAL CARBON DIOXIDE AND OUTCOME OF OUT-OF-HOSPITAL CARDIAC ARREST” (NEJM Article from 1997)
• “ALS: Airway, Breathing, Capnography???” from St Emlyn’s 

ECMO:

• Alfred Hospital ICU ECMO Service
  • Alfred Hospital ECMO inclusion and exclusion criteria 2014
• EDECMO.org website 
  • Site to learn about resuscitative ECMO and ECLS. This site started as partnership of three resuscitationists: Joe Bellezzo, Zack Shinar and Scott Weingart. The goal of this site is to raise the awareness of ECLS in the Emergency Department.
• “Own the ECMO” video lectures from ICN, via Kane Guthrie LITFL
• “ECMO during CPR” podcast from ICN

Traumatic arrest:

• EMCrit on “Traumatic Arrest”
• ERCast on “Traumatic Arrest”

Prognostic evidence:

• Article from Resuscitation 2010 titled “Association between clinical examination and outcome after cardiac arrest “ ….more related to ICU