79: Prolonged Arrests and the Denmark Experience

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This month Zack gives a few pearls from the recent Reanimate courses and annual ELSO meeting in Boston before he interviews Gowry Mork from Aarhus University about her fantastic recent paper.

  • Pearl #1 is about hand placement in cannulation.  Hold the ultrasound in your left an
    • d needle in right.  Once in the vessel, drop the US probe and take your left hand and gently hold the needle. With your right hand grab the wire far enough up to be to insert into the vessel in one push.
  • Gowry’s paper has many interesting points.  Probably the biggest is the reasonable survivorship for prolonger arrests.  This is tied to equality of care for patient who live far from the closest ECMO center.

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    Gowry’s paper – 

    Mørk SR, Bøtker MT, Christensen S, Tang M, Terkelsen CJ. Survival and neurological outcome after out-of-hospital cardiac arrest treated with and without mechanical circulatory support. Resusc Plus. 2022 Apr 6;10:100230. doi: 10.1016/j.resplu.2022.100230. PMID: 35434669; PMCID: PMC9010695.

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9010695/

    Gowry’s Twitter

    @MSivagowry –  https://mobile.twitter.com/msivagowry

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    By Zack Shinar, MD