That seems to be the only answer so far, but maybe I could have done a better job of phrasing the question.How do you draw that conclusion?
Well there you go. Was a top-down view of the chest possible, and they just elevated the xray? Or did they have to stick with side views? Whenever I see the top-down view the machine is mere inches from the chest (making compressions difficult and rather useless, if in progress). I guess if the team is good with it they could pop the device on and off between xrays, but that would be quite a show.I learned how to place the LUCAS in well under 30 seconds and every cath lab we transported to could perform interventions while the LUCAS was operating.
No, definitely not. There is some very promising research being put out about how best to treat OHCA; unfortunately, like many things, it takes a long time for research to transition to every day bedside care. Also, there is a very small group of interested researchers and physicians looking into this, somewhat limiting its applicability, as opposed to say sepsis. Aside from aiming for more public access AEDs and training the community to perform more pre-arrival bystander CPR like Seattle is doing, research is ongoing on ECMO, PCI with CPR in progress, double sequential defibrillation, new drug combos (less epi?- PARAMEDIC 2; beta blockade for VFib/VTach; steroid use intra-arrest; use of vasopressin?) and dosing (titrating epi with a drip or to A-line pressures), mechanical interventions (heads up CPR, abdominal binding), and better intra-arrest monitoring (TTE/TEE, carotid ultrasound, cerebral oximetry, A-line). The problem is many of these interventions cannot be trailed or performed in the field.The next question that comes to mind, have we reached a plateau in OHCA whereas ~10% is the best we can look forward too?
Not taking the LUCAS on and off in the lab, but not limited to lateral only. The projection source is usually not as close as you stated, more like 2 feet away from the pt.'s chest, and they can simply get a good enough picture with oblique views of different angles to subsisted for a dead on AP.Was a top-down view of the chest possible, and they just elevated the xray? Or did they have to stick with side views? Whenever I see the top-down view the machine is mere inches from the chest (making compressions difficult and rather useless, if in progress). I guess if the team is good with it they could pop the device on and off between xrays, but that would be quite a show.
I've had a couple transporting arrests recently, vs my previous dept we only transported ROSC patients. However, here they'll still work up a pt on scene until ROSC or call it, the ones we've transported working arrests are it's who got ROSC then lost pulses during the load/transport phasewhich isn't a situation I've had at my previous dept so maybe they would keep transporting a re-arrest, can't say for sure now lolIs it still common to transport a cardiac arrest? From reading the posts it seems to be.
Unfortunately this is about our sogs tooIn my area, it all depends. SO is I can pronounce on scene after CPR if refractory asystole after 20 min, but I also need the family to be ok with that. If they want us to transport, we do.
Any other rhythm, have to call the doc, give the story. Depending on the age and hx, we may transport, may not. If the family wants us to transport we wont even call in this case.
Any arrest in a public place is automatically a transport.
Even so, if they go back into arrest while en route, it's good to have the lucas ready. (plus you can keep the arms up out of the way!) Can always pop it off while backing into the hospital bay if they maintain a pulse.