Recent discussions
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Jestin Carlson
Thank you for this comment. The post ROSC patient was outside the scope of this review. -
Jestin Carlson
Thank you for this comment. You are correct that this is outside the scope of this review so cannot comment directly. However, there are other resources that have looked at helmet removal that you may find useful. https://www.jems.com/patient-care/prehospital-treatment-of-athletes-wearing-a-helmet-and-shoulder-pads/ -
Giselda Silva
we do cpap in preterm infants with mild respiratory distress after physiological cord clamping in 30 seconds -
Steve Andrews
ILCOR already recommends no chest compression CPR via 911 operator based on evidence of improved outcomes. This is a passive ventilation standard. Bobrow in a study published in 2010 (below) showed an association with improved outcomes with passive ventilation ( chest compression only CPR). ILCOR should not recommend against passive ventilation. Bobrow BJ, Spaite DW, Berg RA, et al. Chest Compression–Only CPR by Lay Rescuers and Survival From Out-of-Hospital Cardiac Arrest. JAMA. 2010;304(13):1447–1454. doi:10.1001/jama.2010.1392 -
Marinice Ponte
When I started my professional life, here in Brazil, pediatricians began to attend in delivery room. It was a time we offered oxigen and tactile stimulation. I’m afraid tactile stimulation cause a delay in the beginning of intermitent Positive pressure in most of hospitals that aren’t attached to education in healthcare. Most of them don’t have pediatricians. Teach professionals to reanimation skills is being a dificult task for us. Professionals don’t have conditions to pay trainings, sometimes neither access to learning. So, including tactile estimulation inside the 60’seconds, in my opinion, would delay reanimation. -
Associate Professor Alsweiler
Nicely written review, I agree with the recommendation. -
Giselda Silva
in extreme preterm infants with mild respratory discomfort, we put on nasal cpap after heating without tactile stimulation -
Giselda Silva
we use the laryngeal mask in preterm infants over 34 weeks with intubation difficulty only -
Steve Andrews
Grunau study (below) showed worse outcomes with patient transport of patient's in cardiac arrest. ILCOR should recommend against transporting in cardiac arrest. Grunau B, Kime N, Leroux B, et al. Association of Intra-arrest Transport vs Continued On-Scene Resuscitation With Survival to Hospital Discharge Among Patients With Out-of-Hospital Cardiac Arrest. JAMA. 2020;324(11):1058–1067. doi:10.1001/jama.2020.14185 -
Ian Maconochie
Thank you - I note that the PICOST begins with Population: Adults and children with presumed cardiac arrest in any settings but that the literature search was based on adults: 'Evidence for adult and literature was sought and considered by the Basic Life Support Task Force. These data were taken into account when formulating the Treatment Recommendations.' I wondered about the recommendation which is based on the PICOST, ergo children would be included by default.