ERC Newsletter July 2017

 

 

Congress News: Important Deadline!
 

 

Four days until the end of Early Registration!

The ERC Congress, Resuscitation 2017 will take place in Freiburg im Breisgau, Germany on 28, 29 and 30 September. Follow this link to check the prices and register for the Congress. Register today and you can avail of the reduced Early Registration prices.
Deadline for early registration: July 14, 2017

 

 

General News:
 

 

Welcome to the new ERC Board members

At a recent election during the General Assembly meeting in Brussels the new composition of the ERC Board was chosen. This Board of 11 directors sets the long-term plans of the organisation. Each Director holds additional specific responsibilities. Congratulations and welcome to all selected.

 

 

Restart a Heart Day in Australia.
We are delighted to announce that the Australian National Council is planning events for the 2017 Restart a Heart Day. What started as a European project has spread to the far corners of the world. We look forward to seeing photos from all your celebrations. The posters & flyers are now online in English, Bulgarian, Dutch, Flemish, French, Maltese, Portuguese, Russian, and Serbian. Many more translations are in the pipeline! Check www.restartaheart.eu.

 

Membership discount for Newsletter readers.
REMINDER:
When you become a member of ERC
before the 1st of August enter the code "member2017" to obtain a discount of €10. On top of that, as a member you receive a €50 discount on Congress Registration. Check out the advantages and register here.

 

 

Interesting Reading:
This section of the newsletter is to highlight articles that we found interesting. If you are an ERC member you can access the entire texts of Resuscitation journal articles by first logging in on MyERC and then following the links below. With thanks to Walter Renier for providing the selection.

 

Each month you can download one free Article of the Month and an Editorial of the Month.
This month, the Editorial of the Month is: Are we ready to take ECPR on the road? Maybe…
The Article of the month is: A Pre-Hospital Extracorporeal Cardio Pulmonary Resuscitation (ECPR) strategy for treatment of refractory out hospital cardiac arrest: An observational study and propensity analysis

 

Dispatcher assisted CPR: Is it still important to continue teaching lay bystander CPR?
Comparison of CPR performance carried out by untrained volunteers following:

  • Dispatcher Assisted Cardiopulmonary Resuscitation
  • immediately after a CPR course 
  • 4 months after the CPR course 

showed that lay bystanders could carry out cardiac compressions in 92.1% of the cases. However, chest compressions were delivered later and less efficiently with less depth, fewer compressions and incorrect hand position.
Comment from ERC: Thus, we still need courses. Read more here.

 

Interactive videoconferencing versus audio telephone calls for dispatcher-assisted cardiopulmonary resuscitation using the ALERT algorithm: a randomized trial.
Mobile phone communications with videoconference should improve dispatchers' understanding of the rescuer's situation. An original protocol of videoconference-assisted CPR (v-CPR) compared to classical telephone-CPR (t-CPR) confirmed higher chest compression rate, more correct hand positioning and reduced ‘hands-off’ events in v-CPR. Compression depth was comparable but median no-flow time was increased in the v-CPR group. Although, the overall CPR performance score was improved in the v-CPR group (P<0.001). Read further.
Comment from ERC: Further research on implementation of this V-CPR in real situations with lay bystanders is needed.

 

Identifying Patients at Risk for Prehospital Sudden Cardiac Arrest at the Early Phase of Myocardial Infarction: The e-MUST Study
The prehospital mortality from sudden cardiac arrest (SCA) remains high and difficult to reduce. To identify patients with ST-elevation myocardial infarction (STEMI) at higher risk for prehospital SCA a SCA prediction score was built and validated internally and externally. In the overall STEMI population, SCA occurred in 5.6% of the cases. The main predictors of SCA were: younger age, absence of obesity, absence of diabetes mellitus, shortness of breath, and a short delay between pain onset and call to emergency medical services. The SCA rate was 28.9% in patients with a score ≥30 compared with 1.6% in patients with a score ≤9 (P for trend <0.001). At the early phase of STEMI, the risk of prehospital SCA can be determined through a simple score of 5 routinely assessed predictors. Read further.
Comment from ERC:  Sensitivity and specificity, however, was very low for scores ≥30: 18.0% and 97.6% respectively.

 

The Efficacy of LUCAS in Prehospital Cardiac Arrest Scenarios: A Crossover Mannequin Study.

Mechanical devices may improve CPR quality. A comparison of the performance of the LUCAS™ device with manual CPR during simulated patient transport confirmed a lower median number of compressions per minute, better percent adequate compression rate, a higher percent adequate depth and lower percent total hands-off time. The performance of LUCAS was the same as manual CPR in median compression release depth, percent fully released compressions, median time hands off, or percent correct hand position. Chest compression quality may be better when using a mechanical device during patient movement in prehospital cardiac arrest patient. Read further.
Comment from ERC: The generalisability of these results to clinical resuscitation is unknown. Resuscitation 2017 Jun;115:155-162.

 

 

 

 

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