Community CPR, AEDs & Out-of-Hospital-Cardiac Arrests

The value of Bystander CPR and Public Access AED use is shown nicely in this NEJM article

What does this mean?

I think it means that a sensible approach to out-of-hospital cardia arrest is NOT about hospitals and helicopters (although post ROSC transport and critical care is vital!)

Rather, we need to ensure robust systems such as

– training the public in ‘hands only’ CPR

– making Public Access Defibrillators available as the norm, not the exception

– using smartphone technology to alert and crowdsource trained BLS-providers in the vicinity (such as GoodSAMapp)

– integrate such technology into existing systems

All of which is eminently do-able – and I am pleased to see that some Ambulance Services overseas and interstate have managed to do this

Hoping the remaining Ambulance Services in Australia will be able to follow suit!  Word is that New Zealand and Victorian ambulance services will be going live with in 2018…


Making Communities HeartSafe

Meanwhile at a local level I’ve been busy, along with other concerned clinicians, to ensure our local community becomes ‘Heart Safe’

The Heart Safe community concept is from the USA and again something that would seem relatively easy to apply to Australia.

We’ve pushed ahead in our small Island community to get public access AEDs into the townships, followed by tourist hotspots… the same time training community members in hands-only CPR.

Read more about the project at & twitter @HeartSafeKI – give us a follow!

Integration with smartphone apps such as GoodSAMapp is also an easy target to achieve.

And if you want to see proof that such a system works, look no further than this local success story from Kangaroo Island.

Read more about Heart Safe Communities here

Resus At The Park

Hi all
I know you’re in the midst of last-minute Christmas shopping and feverish planning, but I wanted to ensure that this got to you so that at least if you are sitting down over the vacation with a full stomach and a spare 5 minutes, you could perhaps forward the email onto your departments, contacts and any other colleagues who may be interested. We would like to get this out to all doctors, nurses, allied health, paramedics, first responders and anyone potentially involved in the management of patients needing resuscitation.
After postponing the 2016 Resus @ The Park conference because of potential health concerns (which I am happy to say are not concerning any more), R@TP is back in 2017 and is bigger and better than planned! Not only are we raring to go to organise a stunning resuscitation conference for Sydney and NSW, but we have also had the opportunity to recruit emergency and critical nursing representatives to the conference organising committee, as well as colleagues from paramedicine.
R@TP is being held to benefit Take Heart Australia, the charity we formed to decrease mortality from cardiac arrests across Australia, the only charity we know that is run solely by working clinicians, and which has garnered a lot of traction and attention in the past couple of years. We are on track to make great changes in awareness, HQ-CPR training and AED numbers across NSW and Australia, and to increase the numbers of people we see with a return of cardiac output and who may go home, rather than solely look after cardiac arrest patients whose chance has long gone.
We have confirmed the conference dates as the 1st and 2nd of June 2017, with a preceding workshop day on the 31st May. We plan not only to run with the conference program we already had, featuring luminaries from prehospital, emergency medicine and critical care, both local and international, but also to expand it to include more tracks, ensuring that not only is it contemporary and evidence-based, but truly multidisciplinary. We are determined to make this a state-of-the-art conference, with wide media and social media coverage, with speakers on-site and also talking from overseas via streamed video, and streaming all content out to those who are unlucky enough not to be able to attend.
This email has a Save The Date EDM attached to it, and I would be really grateful if you could send it on to as many people as possible. Finally, many apologies if you receive this email twice, or that you receive it out of the blue. I have tried to be accurate and not send it to the wrong people, but the pre-Christmas delirium is taking hold!
Grateful for your help and support, and have a very Merry Christmas and Happy New Year.
Paul M Middleton
Chair, Take Heart Australia
Director, Emergency Medicine Research Unit, Liverpool Hospital
Clinical Associate Professor, Discipline of Emergency Medicine, University of Sydney
Conjoint Associate Professor, Graduate School of Biomedical Engineering, University of New South Wales
Principal Investigator, DREAM Collaboration
Director, Australian Institute for Clinical Education
Immediate Past Chair, Australian Resuscitation Council, NSW Branch

SALAD on the beach

It’s hotting up ‘down under’ and we are planning to spend summer on the beach as is traditional at Xmas/New Year.  It is going to be a hot one … Adelaide (nearest city) is supposed to be the hottest city in the world for Xmas Day!

Meanwhile plans for #DAS smacc airway workshop are shaping up for Berlin in June.  As usual the airway workshop is fully booked, but there are plans to host a series of ‘pop up’ events in some of the venues around the conference during smacc week….The SALAD sim (suction-assisted laryngoscopic airway decontamination) will feature – this is the brainchild of evil genius Jim DuCanto and has been enthusiastically adopted by many worldwide to practice management of the soiled airway.  Many of us are refining airway trainers to ensure the ‘SALAD Sim’ popups are fun and memorable for all in Berlin.

What then could be more Australian than a beach BBQ?  An esky full of beer…some ice…and SALAD?

Dr Tim’s Beer and SALAD Sim

In true summer style, I have been experimenting with a traditional beach esky – filled with ice, cold ‘Dr Tim’s’ beer and cunning use of a 12V battery and bilge pump to deliver a constant stream of simulated vomitus to the airway mannikin. The entire set up is portable – and better still, can carry beer!

Make one yourself – you KNOW you want to!