MEDEST - 29 Lug 2015
"In the Prehospital Emergency System where I work (from late 1996) we are historically used to manage cardiac arrest events with a deep “Stay and Play”, except for some sporadic cases (mostly pediatric patients) . The rising of A-V ECMO era (and in Florence there is a major ECMO center) and lastly of mechanical chest compression devices, took us to rethink the whole approach to the management of cardiac arrest.
Is there now a role for a “Load-Play and Go” approach in some selected patients.
Let’s try to figure out some of the major challenges that this new approach can pose to emergency physician working in a prehospital environment.
- Which are the inclusion criteria to choose, in a so urgent and confusing situation (as OHCA is), the right patient with a reasonable hope of good functional recovery.
- Do we have to change our ALS schedule and management in those selected cases?"
http://medest118.com/2015/07/29/load-play-go-in-out-of-hospital-cardiac-arrest-the-6-minutes-approach/