SCCM Resource Library-Prehospital Care and Initial Stabilization and/or Transfer of Critically Ill Patients

Video Transcription

Video Summary

The video transcript discusses two recent studies related to pre-hospital critical care transport and care. <br /><br />The first study focuses on the use of calcium and sodium bicarbonate in out-of-hospital cardiac arrest. The study found that there was no benefit to administering calcium and it actually showed a trend towards harm. The study enrolled 391 patients and found that calcium did not improve sustained return of spontaneous circulation (ROSC), survival at 30 days, or favorable neurological outcomes. Additionally, hypercalcemia was seen in a high percentage of patients who received calcium.<br /><br />The second study explored the use of blood products in patients with trauma-related hemorrhagic shock. The trial was conducted in the United Kingdom and compared the use of saline to PRBCs and lyoplas (freeze-dried plasma). The study found no significant difference in a composite outcome of mortality or impaired lactate clearance between the two groups. However, the study did find a higher incidence of transfusion reactions and serious adverse events in the blood product group.<br /><br />Overall, both studies suggest that current practices of administering calcium and blood products may not provide significant benefits in pre-hospital critical care transport and care.

Asset Subtitle

Administration, Professional Development and Education, 2023

Asset Caption

Type: year in review | Year in Review: Emergency Medicine (SessionID 2000003)

Meta Tag

Content Type Presentation

Knowledge Area Administration

Knowledge Area Professional Development and Education

Membership Level Professional

Membership Level Select

Tag Transfers

Tag Medical Education

Tag Healthcare Delivery

Year 2023

Keywords

pre-hospital critical care transport

calcium

sodium bicarbonate

out-of-hospital cardiac arrest

blood products

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