The Resus Room

Advancing Cardiac Arrest Care, SPEAR; Roadside to Resus

52 snips
Jul 22, 2025
Guests Jon Barratt and Paul Rees, experts in emergency medicine and resuscitation, dive into groundbreaking practices for cardiac arrest management. They explore the SPEAR course's innovative techniques, including endovascular resuscitation methods like REBOA and advanced blood pressure monitoring. The discussion highlights optimizing CPR for better coronary perfusion and the evolution of training programs in Europe. Listeners will also learn about practical strategies for enhancing outcomes in both pre-hospital and in-hospital settings.
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INSIGHT

Diastolic BP Threshold Predicts ROSC

  • A diastolic BP threshold of 35 mmHg correlates with a coronary perfusion pressure above 15 mmHg.
  • Achieving higher diastolic pressures during arrest increases likelihood of ROSC.
ADVICE

Use Invasive BP to Optimize CPR

  • Optimize CPR quality actively by monitoring invasive pressure waveforms.
  • Adjust compression position and vasopressor delivery to achieve target diastolic pressure.
ADVICE

Rethink Vasopressor Use in Arrest

  • Question whether adrenaline is the best vasopressor for afterload during cardiac arrest.
  • Consider delivering vasopressors as continuous infusions instead of boluses to optimize coronary perfusion.
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