Resuscitation Outcomes Consortium - It's the ROC, holla!

[vs-eh?]

Just saw a memo today saying that we will be participating in the ROC.

http://www.emergencymedicine.utoronto.ca/Page49.aspx

Actually, it appears that Ontario will be a major player in this study as a whole.

We are participating in both cardiac arrest and major trauma cases.

Arrest - Immediate defib or 3 mins of CPR as intial tx. Now, we already do 3 mins of upfront CPR anyway for unwitnessed arrests, regardless of rhythm. I also assume this immediate defib also only for VF/pulseless VT, not any rhythm shock at least once (but who knows). So fairly mild changes (for us anyway), likely just changes to either defib or CPR for witnessed arrests pre-hospital. There is also a special valve or something for the BVM that I believe is supposed to reduce increase intrathoracic pressure. This is ALS and BLS.

Trauma - Significant trauma (there were no clinical conditions specified other than that). 500ml of randomized 0.9% saline, hypertonic saline, or hypertonic saline and dextran. ALS only.

I'm sure the standing orders will be coming out soon regarding clinical trauma criteria.

Could shape cardiac arrest and trauma outcomes in the near future.

[Ridryder 911]

Seems like a Witch hunt... Not very precise for a consortium outline. For example, Dallas ( and some surrounding areas), Iowa City .. to test airway devices, and ventilators??? WTF ? Again, never any comparison to those in ED's.

C'mon gang your supposed to be scientist, this information would never fly pass the IRB. Give me specifics, who is paying for this , why is this being performed, and what do you plan to do with the data ?...

Here is a link with some basic terms of studies & volunteers, when looking at any study... ask yourself, did the journal or study have each of these ? http://www.washington.edu/healthresearch/definitions.html

Folks, we have to become educated to understand studies. Sometimes, just because it is performed does not mean they are accurate, or they really mean anything ! Sometimes they are.. & sometimes there not. Sometimes it is a group of physicians that have to have something published to keep tenure at teaching faculty at a medical school. Yes, it happens a lot, don't get published..loose a job.. be very weary of any studies, and don't take at face value.

Seems a very dispersed & to vague on "what they are going to be doing".. how are they, going to get patients permission ?..which type of study, blind.. number of patients and to whom ?..

I know it is in early phase, but we need to be very cautious of any new studies... let's look on those recently, that was obviously flawed.

Be wise..

R/r 911