OHCA literature review
Examining the evidence for managing intubation attempts, PEA and ETCO2 for out of hospital cardiac arrest
- Murphy DL, Bulger NE, Harrington BM, et al. “Fewer tracheal intubation attempts are associated with improved neurologically intact survival following out-of-hospital cardiac arrest.” Resuscitation. 2021. – a retrospective, observational, cohort study of 1,205 non-trauma OHCA patients with a laryngoscopy attempt performed by Seattle Fire
- Crickmer M, Drennan IR, Turner L, Cheskes S. The association between end-tidal CO2 and return of spontaneous circulation after out-of-hospital cardiac arrest with pulseless electrical activity. Resuscitation. 2021. – a retrospective, observational, cohort study of 208 non-trauma OHCA patients with presenting PEA conducted in two services in Ontario
We examine the literature and discuss:
- Should we take a third attempt at intubating an OHCA patient?
- What about PEA arrest; can ETCO2 help identify pseudo-PEA?
Listen to get some OHCA literature updates.