Today, I review, link to, and embed CriticalCareNow‘s OHCA: Who goes to the cath lab?
All that follows is from the above resource.
Feb 7, 2025 ResusX:PodcastShould every out-of-hospital cardiac arrest patient go straight to the cath lab, or could that decision cause more harm than good? In this must-watch lecture from ResusX: ReUnion (see the link below for more lectures), Dr. Anand Swaminathan and Dr. Tarlan Hedayati take on this high-stakes debate and break down the latest research on coronary intervention post-cardiac arrest. Using landmark studies like TOMAHAWK and COACT, they reveal when immediate angiography is life-saving and when delayed intervention or alternative resuscitative efforts may be the better choice. With real-world cases, expert analysis, and evidence-based strategies, this lecture will change the way you approach post-arrest care. If you manage cardiac arrest patients, you can’t afford to miss this!
00:00 Introduction and Case Setup
00:20 Initial Patient Assessment
01:39 Decision Making: Cath Lab or Not?
02:43 Evaluating EKG and Neurologic Function
06:04 Immediate vs. Delayed Angiography
07:15 Special Considerations and Scenarios
14:17 Thrombolytics and Final Thoughts