Post Arrest Care

Playlist: Key Topics in Emergency Cardiology 202176 Videos

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  75. 08:52

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tom f. -

thank you Dr Johnson..

that was very cool. extremely helpful.

some shops are "pan-scanning " after ROSC. what do you think about that?

tom

Whitney J. -

Hey Tom!!! Thanks for tuning into the conference hoping you found some useful pearls along the way! This is a great question. No specific guidelines so I feel that right now it’s a style thing. For myself without trauma, good story, or high suspicions for dissection I do not routinely WBCT my ROSC. Most like to get a chest CT if PE is still on my mind. Otherwise I think the yield and the likelihood that it changes my clinical outcomes in MOST cases is low. So I try to stay selective with scans in initial resus…I will say that there has been some small studies published this year looking at this! They summarize that if ya go fishing you’re bound to find something lol…but again the utility as it relates to outcomes is not clearly evaluated in these either.

Branch KRH, Strote J, Gunn M, et al. Early head-to-pelvis computed tomography in out-of-hospital circulatory arrest without obvious etiology. Acad Emerg Med 2021 Apr;28(4):394-403 PMID: 33606342

Viniol S, Thomas RP, Konig AM, et al. Early whole-body CT for treatment guidance in patients with return of spontaneous circulation after cardiac arrest. Emerg Radiol. 2020 Feb;27(1):23-29. PMID 31468207

Whitney J. -

Hey Tom!!! Thanks for tuning into the conference hoping you found some useful pearls along the way! This is a great question. No specific guidelines so I feel that right now it’s a style thing. For myself without trauma, good story, or high suspicions for dissection I do not routinely WBCT my ROSC. Most like to get a chest CT if PE is still on my mind. Otherwise I think the yield and the likelihood that it changes my clinical outcomes in MOST cases is low. So I try to stay selective with scans in initial resus…I will say that there has been some small studies published this year looking at this! They summarize that if ya go fishing you’re bound to find something lol…but again the utility as it relates to outcomes is not clearly evaluated in these either.

Branch KRH, Strote J, Gunn M, et al. Early head-to-pelvis computed tomography in out-of-hospital circulatory arrest without obvious etiology. Acad Emerg Med 2021 Apr;28(4):394-403 PMID: 33606342

Viniol S, Thomas RP, Konig AM, et al. Early whole-body CT for treatment guidance in patients with return of spontaneous circulation after cardiac arrest. Emerg Radiol. 2020 Feb;27(1):23-29. PMID 31468207

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