PCI following ROSC
The Resus Room25 Juli 2016

PCI following ROSC

If you've had an MI with a STEMI or a new LBBB the decision to go to the cath lab is pretty straight forward. If you've collapsed with a cardiac arrest of presumed cardiac aetiology (the majority of them) and gained a ROSC (return in spontaneous circulation) then the decision to go the the lab immediately is pretty variable and can depend of the clinicians involved, the ECG or the system within which you work.

The Resus Council and the European Society of Cardiology have some guidance on the topic and that is a must read. Today we have a look at a commonly quoted paper in the literature, The PROCAT database, to see if we can shed some light on the topic.

We'd love to hear feedback and comments on the podcast in the comments section. Enjoy!

References

2014 ESC/EACTS Guidelines on myocardial revascularization; page 2585

Resus Council; Post Resus Care section 6

Immediate percutaneous coronary intervention is associated with better survival after out-of-hospital cardiac arrest: insights from the PROCAT (Parisian Region Out of hospital Cardiac ArresT) registry. Dumas F. Circ Cardiovasc Interv. 2010 Jun 1;3(3):200-7. doi: 10.1161/CIRCINTERVENTIONS.109.913665. Epub 2010 May 18.

Det här avsnittet är hämtat från ett öppet RSS-flöde och publiceras inte av Podme. Det kan innehålla reklam.

Avsnitt(286)

August 2026; papers of the month

August 2026; papers of the month

This month we've got another really varied mix of papers that all have the potential to influence everyday emergency and prehospital practice. We start by asking a question that's becoming increasingl...

2 Aug 35min

Laryngectomy and Tracheostomy Emergencies; Roadside to Resus

Laryngectomy and Tracheostomy Emergencies; Roadside to Resus

Tracheostomy and laryngectomy emergencies are classic high-acuity, low-frequency situations. They do not happen every day, but when they do, airway problems can develop quickly, and the wrong interven...

16 Juli 50min

July 2026; papers of the month

July 2026; papers of the month

Welcome back to July's Papers of the Month. This month we've got three papers that tackle some of the biggest questions we face in emergency and critical care medicine. They're all very different stud...

1 Juli 31min

Excellence in Facemask Ventilation; Roadside to Resus

Excellence in Facemask Ventilation; Roadside to Resus

Face mask ventilation is one of those skills that can easily be overlooked. It's often seen as the simple bit of airway management — something that sits below the glamour of videolaryngoscopy, fibre-o...

16 Juni 59min

June 2026; papers of the month

June 2026; papers of the month

This month's episode takes us deep into trauma care, but not just the medicine we deliver but also the systems, circumstances and social factors that shape who survives and who doesn't. We start by lo...

1 Juni 32min

Reframing Anaphylaxis; Roadside to Resus

Reframing Anaphylaxis; Roadside to Resus

Anaphylaxis is one of those conditions we think we have got pretty well sorted. Recognise it early, give adrenaline, support the airway and circulation, and crack on. And in fairness, for the vast maj...

14 Maj 44min

May 2026; papers of the month

May 2026; papers of the month

This month's Papers of the Month is a real mix of papers that challenge some of the things we think we know, whilst also highlighting just how important systems and processes are in improving patient ...

1 Maj 33min

Excellence in Defibrillation; Roadside to Resus

Excellence in Defibrillation; Roadside to Resus

Timely and effective defibrillation is fundamental to excellent outcomes in cardiac arrest care. But there is a growing body of evidence suggesting that how we deliver those shocks may matter just as ...

8 Apr 47min

Populärt inom Vetenskap

p3-dystopia
dumma-manniskor
allt-du-velat-veta
hacka-livet
ufo-sverige
rss-vetenskapsradion
rss-kriminologerna
svd-nyhetsartiklar
bildningspodden
det-morka-psyket
rss-vetenskapsradion-2
halsorevolutionen
ufo-sverige-2
medicinvetarna
dumforklarat
vetenskapsradion
sexet
rss-odla
barnpsykologerna
paranormalt-med-caroline-giertz