The journal club presentation is available to download below.
In short the take home points are;
- Old blood does not increase mortality rates and is safe to use in critically ill patients.
- When intubating patients, using ETCO2 is not 100% reliable. Consider using ultrasound in addition to ETCO2 to confirm your tube position.
- Tourniquets are safe and effective in patients with exsanguinating limb trauma.
- Mechanical CPR devices do not improve outcomes in patients with cardiac arrest, although they may be useful in situations where manual CPR is impractical.
- REBOA carries a higher mortality than in matched controls and may not be as effective as first thought.
- Adrenaline improves survival to hospital rates, but NOT long term survival.
- Pre-hospital administration of blood improves mortality rates and reduces rates of trauma induced coagulopathy.
- Short term use of peripheral vasopressors is unlikely to cause significant damage and may result in your patient achieving hemodynamic stability faster.
- Ketamine is a safe and effective agent for rapid sedation of agitated patients.
- Passive Leg Raise may improve survival in out of hospital cardiac arrest.