Yes,
If I thought on the basis of the history and clinical info that
by-pass may offer some benefit ( assuming we are doing effective resus in
the helicopter.
Craig
Thanks Craig. - One can probably acheive better CPR in an appropriate
helicopter that in a road ambulance.
I am particually interested in the recommendations from the Resus council UK
that
state " In the patient with cardiac arrest and hypothermia, cardiopulmonary
bypass is the preferred method of active internal rewarming......."
Out in 'the field' (literally) it is not, at present possible to meausure
core temperatures - can one assume that a patient in cardiac arrest from
hypotherma is under 30 degrees C? I assume this is the case but has anyone
on the list seen such a patient over >30C. It makes a difference in the RC
(UK) guidelines on shocking and drug therapy, you see.
>>> [log in to unmask] 03/14/01 10:35 >>>
Hypothetically, - of course! - You are air-lifting a patient in cardiac
arrest as a result of hypothermia. Would you overfly an A/E hospital with a
helipad:-
to a hospital 15 miles away without a helipad
where the landing site is half a mile from the A/E door by road
but the hospital does have by-pass facilities?
Regards
Dave Fletcher
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