POCUS as a predictor of Traumatic Cardiac Arrest outcome with Tim Harris

In this conversation, we will examine whether point-of-care
ultrasound is a reliable predictor of outcome during Traumatic
Cardiac Arrest (TCA). We will dig into the recently published
systematic review on the topic with Tim Harris, who is one of the
authors of the paper. We will examine why the authors decided to
look at TCA and POCUS, the number of studies and patients
examined, the type of Mechanism Of Injury (MOI) leading to TCA,
what the results showed, and how this is relevant to practice. We
also look at the other adjunctive markers in the pre-hospital
domain to inform the Termination Of Resuscitation (TOR) based on
the results found in this paper. We will also dig into another
recently published paper related to the diagnostic performance of
POCUS in resuscitative outcomes published in April of this year
on a systematic review and meta-analysis of 3265 patients and
outcomes with POCUS.  


 


To do this I have Tim Harris with me. Tim is a Professor of
Emergency Medicine and Programme Director for the Emergency and
Resuscitation Medicine programme at the Blizard Institute, Queen
Mary University of London. He has trained extensively overseas,
training in Emergency Medicine and Intensive Care Medicine in the
UK, Australia, Africa, India and Samoa. The papers we examine
include:





Is point-of-care ultrasound a reliable predictor of outcome
during traumatic cardiac arrest? A systematic review and
meta-analysis from the SHoC
investigators:https://www.sciencedirect.com/science/article/abs/pii/S0300957221003270





Diagnostic performance of point-of-use ultrasound of
resuscitation outcomes: A systematic review and meta-analysis of
3265
patients:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10129265/


My thanks to Tim for an engaging and insightful interview.