What are people doing 5 years later? I have seen two groups of EMS/medics form out in the past few years. The first is establishing an IV and ETT and transporting as early as possible cardiac arrest patients while continuing CPR and ACLS.
The second is sitting on scene for an extended period of time, up to 45-60min to perform their resuscitation under the auspices that they are doing the same thing as in the ED. All ACLS is followed appropriately, CPR is great, etc.
Anyone seeing differences in outcomes to hospital discharge?
I was a strong proponent of the latter until a recent code I had that was witnessed and secondary to a LAD occlusion. One could argue that if we transported immediately we could have gone to the cath lab while performing CPR and opened the LAD and tried to see if that helped. the other argument is CPR during transport has poor quality. Thoughts?