Hello and welcome back to the Sydney HEMS debrief, focus on cardiac arrest.

This week, we are joined by a Sydney local – Prof Jimmy Chien, as we talk about PE in cardiac arrest.

Jimmy is a Senior Staff Specialist (Senior Consultant) in Respiratory Medicine, with a sub-speciality focus on pulmonary embolism. Jimmy has been fundamental in the creation of the PE emergency response team at his tertiary facility in Sydney, as well as in the roll-out of similar multi-disciplinary teams across Australia. On a daily basis, Jimmy and his team encounter the most challenging PE patients – those with intermediate or high risk PE, as well as those in arrest.

In this episode, Nat, Jimmy and I unpack how a PE causes an arrest, how to ascertain if a patient has arrested secondary to a massive PE, the therapies available to those patients who have arrested due to a known or suspected PE, and the role of mechanical support including ECMO. Too, we quiz Jimmy on where the literature is taking us to help manage this cohort of patients, as well as some of the emerging post-therapy care plans.

Jimmy is a wealth of knowledge, and we sure hope you enjoy the episode as much as we did recording it.

We are delighted to be sponsored by Corpuls - delivering high-tech and innovative equipment for emergency and intensive care medicine for over 35 years.

Hello and welcome back.

This week, we are joined by Dr Felipe Teran from New York, discussing trans-oesophageal ECHO (TOE) in arrest.

Felipe is an Associate Professor of Emergency Medicine at Weill Cornell Medical College, New York. Additionally, Felipe is a clinical scientist and educational leader specifically focused on the utility and application of TOE during cardiac arrest. Indeed, Felipe is leading the way integrating this intervention into ACLS efforts.

In this episode, myself (Sam), Nat and CCP Jackie chat with Felipe about the literature to date demonstrating the application of TOE in arrest to best optimise chest compression position to promote forward flow. In so doing, resuscitation providers can attempt to avoid a left ventricular outflow tract obstruction, and are better able to continually assess the effectiveness of ACLS – noting that the heart can change position throughout arrest.

Additionally, Nat talks about her and the team’s experience of pre-hospital TOE within the New South Wales Ambulance system, in particular how TOE can be utilised as part of a toolkit of assessment during arrest to assess the effectiveness of a resuscitation – even in the absence of placing a patient onto ECMO. Linked to this, Jackie describes the effect of live physiologic guidance and feedback to the paramedic workforce in New South Wales.

We certainly hope you enjoy this episode, and we look forward to talking with you again soon.

We are delighted to be sponsored by Corpuls - delivering high-tech and innovative equipment for emergency and intensive care medicine for over 35 years.

Hello and welcome back.

As we continue to discuss cardiac arrest, this week we talk with Prof Laurie Morrison from Toronto about:

Prof Morrison is an academic and Clinical Scientist in the Division of Emergency Medicine, Department of Medicine at the University of Toronto and Sunnybrook Health Sciences Centre. Her program of research focuses on the evaluation and implementation of time sensitive interventions in acute emergencies, including cardiac arrest.

Laurie is a member of ILCOR, where she has been named a ‘Giant in Resuscitation’. Outside of ILCOR, Laurie has led the way establishing ‘Rescu’ – a collaborative prehospital research network wherein investigators conduct randomised controlled trials and outcome validation studies in resuscitation research. Laurie continues to provide leadership to several committees including the network of Canadian Emergency Medicine Researchers, and she has has received honorary membership to the European Resuscitation Council for life time achievement in resuscitation science.

We hope you enjoy this episode, and as ever please send us feedback or questions.

Please remember to hit subscribe!

We are delighted to be sponsored by Corpuls - delivering high-tech and innovative equipment for emergency and intensive care medicine for over 35 years.

Hello, and welcome back to the Sydney HEMS debrief, focus on cardiac arrest.

This is the second half of our chat with Dr Hans van Schuppen from Amsterdam as we put the P back into CPR.

In today’s episode, we discuss amongst other things:

Join now as we continue to pick Hans’ brain, and as ever we hope you enjoy this and subsequent episodes.

Please remember to hit subscribe!

Here is a link to the text Hans’ references concerning common terminology of ventilation during cardiopulmonary resuscitation: https://pubmed.ncbi.nlm.nih.gov/39848430/

We are delighted to be sponsored by Corpuls - delivering high-tech and innovative equipment for emergency and intensive care medicine for over 35 years.

Hello, and welcome back to the Sydney HEMS debrief, focus on cardiac arrest.

This is episode 3, and today it is all about ventilation during arrest. It is time to put the P back into CPR. Ventilation has been neglected in cardiac arrest management, and this two part episode focuses on how ventilation can not only help achieve a ROSC but the importance of ventilation too in achieving neurologically intact survival

We are delighted to be joined by an absolute expert in this area, Dr Hans van Schuppen from Holland.

Hans is an anesthesiologist and HEMS physician at the Amsterdam University Medical Centre. Hans is a combined researcher, clinician and leader. He is an ERC Advanced Life Support Course Director, co-founder of the ResusNL conference, member of the expert group on national ambulance guidelines on resuscitation and is a member of the jury of the Dutch National Resuscitation Competition. As a member of the Dutch Resuscitation Council, he co-authored the national resuscitation guidelines, and helped to develop and implement a nationwide standard operating procedure for the handover of out-of-hospital cardiac arrest patients.

Currently, Hans is the chair of the Medical Committee and board member of the Dutch Resuscitation Council. His research evolved into a formal PhD with the ARREST (AmsteRdam REsuscitation STudies) group and the department of Anesthesiology, resulting in his thesis “Prehospital Advanced Life Support”. He now serves as director of resuscitation science of ARREST and works towards close collaboration between clinical care, education, research and innovation in resuscitation.

We could not stop talking to Hans, so please tune back in next week for the second half of our conversation.

We are delighted to be sponsored by Corpuls - delivering high-tech and innovative equipment for emergency and intensive care medicine for over 35 years.

Hello, and welcome back to the Sydney HEMS debrief, focus on cardiac arrest.

This is episode 3, and today it is all about ventilation during arrest. It is time to put the P back into CPR. Ventilation has been neglected in cardiac arrest management, and this two part episode focuses on how ventilation can not only help achieve a ROSC but the importance of ventilation too in achieving neurologically intact survival

We are delighted to be joined by an absolute expert in this area, Dr Hans van Schuppen from Holland.

Hans is an anesthesiologist and HEMS physician at the Amsterdam University Medical Centre. Hans is a combined researcher, clinician and leader. He is an ERC Advanced Life Support Course Director, co-founder of the ResusNL conference, member of the expert group on national ambulance guidelines on resuscitation and is a member of the jury of the Dutch National Resuscitation Competition. As a member of the Dutch Resuscitation Council, he co-authored the national resuscitation guidelines, and helped to develop and implement a nationwide standard operating procedure for the handover of out-of-hospital cardiac arrest patients.

Currently, Hans is the chair of the Medical Committee and board member of the Dutch Resuscitation Council. His research evolved into a formal PhD with the ARREST (AmsteRdam REsuscitation STudies) group and the department of Anesthesiology, resulting in his thesis “Prehospital Advanced Life Support”. He now serves as director of resuscitation science of ARREST and works towards close collaboration between clinical care, education, research and innovation in resuscitation.

We could not stop talking to Hans, so please tune back in next week for the second half of our conversation.

Hello, and welcome back to the Sydney HEMS debrief, focus on cardiac arrest.

In the second episode of this series, we talk to Dr Tommaso Scquizatto from Milan, Italy.

Tommaso is a Doctor, researcher and innovator in cardiac arrest, resuscitation, and emergency critical care medicine. He works in the Department of Anaesthesia and Intensive Care at IRCCS Ospedale San Raffaele in Milan, Italy, where he leads cardiac arrest research and innovation.

His clinical and research efforts focus on improving the entire chain of survival for out-of-hospital cardiac arrest, from prevention to advanced resuscitation, including the use of extracorporeal life support and novel technologies. He serves on the Advanced Life Support (ALS) Task Force of the International Liaison Committee on Resuscitation (ILCOR) and the 2025 Guidelines Working Groups for BLS, ALS, and extracorporeal CPR of the European Resuscitation Council (ERC). He is also an editorial board member and social media editor for Resuscitation and Resuscitation Plus.

With Tommaso in this episode, we talk about targeted physiology in cardiac arrest included targeted diastolic blood pressure, Tommaso’s research, and how systems and workflows may adapt to incorporate new intra-ACLS interventions such as transoesophageal ECHO.

We hope you enjoy the episode, please be sure to hit subscribe and tune back in next week.

We are delighted to be sponsored by Corpuls - delivering high-tech and innovative equipment for emergency and intensive care medicine for over 35 years.

Hello, and welcome back to the Sydney HEMS debrief, focus on cardiac arrest.

This is the first in a series of podcasts dedicated entirely to cardiac arrest, the physiology driving the clinical presentation and how we can more effectively use physiological principles and basic science to underpin clinical care and research. 

In this week’s episode, we have the privilege of talking with Dr Paul Rees.

Who better to talk all things myocardial perfusion and it’s optimisation during cardiac arrest than an interventional cardiologist and pre-hospital physician. Paul explains the physiology of cardiac arrest from an interventional cardiologist perspective as we ask him the hard questions on:

We hope you enjoy this episode, please contact Sam or Nat if you have any comments or questions.

Hello, and welcome back to the Sydney HEMS debrief, focus on cardiac arrest.

This is the first in a series of podcasts dedicated entirely to cardiac arrest, the physiology driving the clinical presentation and how we can more effectively use physiological principles and basic science to underpin clinical care and research. 

In this week's episode, we have the privilege of talking with Dr Paul Rees.

Who better to talk all things myocardial perfusion and it’s optimisation during cardiac arrest than an interventional cardiologist and pre-hospital physician. Paul explains the physiology of cardiac arrest from an interventional cardiologist perspective as we ask him the hard questions on:

We hope you enjoy this episode, please contact Sam or Nat if you have any comments or questi

Hello, and welcome back to the Sydney HEMS debrief!

Today, we are launching a mini-series focused on Cardiac Arrest.

Following the application of pre-hospital ECMO for refractory cardiac arrest in Sydney (the PRECARE study), we are taking a deep dive into some of the other global emerging research, management strategies and interventions being considered for cardiac arrest patients.

Join us for this multi-part series as we chat with world leading researchers and clinicians who are at the forefront of cardiac arrest debate, as we consider how we can best serve this diverse and heterogeneous patient group.

Throughout the series, Dr Samuel Bulford (Sydney) and Dr Natalie Kruit (Sydney) will be joined by guests from around the world, covering topics including but not limited to:

Guests include Prof Laurie Morrison (Toronto), Dr Paul Rees (London), Dr Hans van Schuppen (Amsterdam), Dr Felipe Teran (NYC) and Dr Tommaso Scquizzato (Milan) to name but a few.

It is time to get excited about cardiac arrest again, so tune in to learn how we can together improve patient outcomes, team performance and contribute to cutting-edge medicine.

Be sure to hit subscribe wherever you get your podcasts – episode one coming out tomorrow!