----- Original Message -----
From: "anthony good"
Subject: Re: End Tidal Carbon Dioxide monitoring in CPR
>
> EtC0 < 10mmHg after persisting PEA for 20 mins in the absence of a
treatable
> cause on examination has a prognosis of 0% survival - you may say we know
> that anyway - but I feel better about the decision to stop with this
> evidence.
> Bye the bye anecdotally...
Anecdote might as good as anything in this business (cardiac arrest) when
the hard evidence is so poor, as Matt has already argued. But Tony, I wonder
if you're the only person who resuscitates PEA (in the absence of a
treatable cause) for 20 minutes! If they haven't got a treatable cause,
should you continue resuscitation at all? In other words, is measuring ETCO2
on a PEA patient at 20 minutes down-time really telling you anything you
didn't already know i.e. you've got a dead patient, haven't you? Or are you
actually saying that there are PEA patients, at 20 minutes down, who have
normal ETCO2, and that some of them go on to survive?
AF
P.S. Sorry Andy, perhaps slightly off the academic thread, but I haven't
gone anywhere near ALS teaching!
|