Good thread Julian - as far as I am aware, the ETCO2 is actually a very useful
prognostic indicator post arrest - if low then they are unlikely to survive to
hospital discharge, if high then there is a good chance. You can probably
quote the figures more readily. This may be useful in that it may help us
decide which of the ROSC's to palliate and which to pull all the stops out
for.
PLEASE can we limit this thread to Julian's topic and not diversify back to
evidence base behind ALS/Teaching/Short courses once again. Even though I have
a professed interest in this, I think we have done that topic to death (sic)
and it became quite tedious when it raised its head again recently.
Andy
>===== Original Message From Accident and Emergency Academic List
<[log in to unmask]> =====
>That's if chest compressions make any difference anyway?? No evidence
>for that is there?
>Best guide to outcome community>15mins not in VT/VF crap outcome. In
>VF/VT slightly better
>Seriously though most departments probably have difficulty finding the
>ETCO2 probe for the patient needing ITU, as its still probably in ITU
>Andy Webster
>
>-----Original Message-----
>From: Accident and Emergency Academic List
>[mailto:[log in to unmask]] On Behalf Of Julian Humphrey
>Sent: 19 February 2003 23:33
>To: Andrew Webster
>Subject: End Tidal Carbon Dioxide monitoring in CPR
>
>Dear Colleagues
>
>Having read the article about end tidal CO2 monitoring in the recent ALS
>Newsletter and completing my CTR on the subject. I would be interested
>to hear whether, colleagues are routinely using end tidal CO2 monitoring
>in the management of patients in cardiac arrest. Is anyone currently
>doing any research on this in UK?
>
>There is good quality evidence in the literature to suggest that it can
>provide non invasive information on the quality of chest compressions,
>and predict the return of spontaneous circulation before a pulse is
>palable, and may be a be a guide to outcome. This is in addition to
>confirming the correct placement of the ET tube.
>
>
>Julian Humphrey
>SpR in A&E Medicine
>Yorkshire
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