Greater Sydney Area HEMS

G'Day and welcome back to the HEMS debrief, cardiac arrest mini-series. This is part two of our conversation with the pre-hospital ECMO team from Paris, France.  Following part one, in this part two we continue to chat with Alice and Lionel about their extended research in the out-of-hospital cardiac arrest space, including but not limited to rapid cooling and ventilation strategies. Too, we discuss the cultural reluctance of systems to further adopt pre-hospital ECMO, as well as share some tips for those systems considering embarking on ECMO provision.    As 2025 draws to a close, thank you sincerely for listening throughout 2025, and we cannot wait to talk again in 2026.      We are delighted to be sponsored by Corpuls - delivering high-tech and innovative equipment for emergency and intensive care medicine for over 35 years.

G'day and welcome back to the Sydney HEMS Debrief podcast - this is our focused mini-series on Cardiac Arrest.  Today's episode is a big one. We have the absolute privilege of speaking to the Dr Alice Hutin and Prof Lionel Lamhaut from the pre-hospital ECMO team in Paris, France.  The team, part of the Service d’Aide Medical d’Urgence (aka SAMU) in Paris, have been performing pre-hospital ECMO for OOHCA since 2011. For the past 10 years, the team have been available 24/7, working in concert with the pre-hospital ICU team dispatched to cardiac arrests in the greater Paris region.  Truly ground-breaking, Alice and Lionel join us to reflect on over a decade of pre-hospital ECPR care, system implementation and challenges. Too, and perhaps most significantly, Alice and Lionel reflect on the extent to which the pre-hospital ECPR service has influenced every step of the chain of survival in the Paris system - promoting high quality basic and advanced life support at multiple levels within the pre-hospital response.  Too, Sam does not shy away from asking some tough questions around just who should be performing ECPR - high specialised, limited access services or should this therapy be adopted and delivered more widely.  This is part one of a two part episode, and is an absolute cracker.  Be sure to tune in to part two very soon!     We are delighted to be sponsored by Corpuls - delivering high-tech and innovative equipment for emergency and intensive care medicine for over 35 years.      

Hello and welcome back. As we continue to discuss cardiac arrest, this week we talk with Prof Laurie Morrison from Toronto about: How to integrate cardiac arrest research into an existing systems How to gather and interpret physiologic data during arrest – particularly ventilation data – and what to do with this data to optimise arrest care How to be a leader in this research field Prof Morrison is an academic and Clinical Scientist in the Division of Emergency Medicine, Department of Medicine at the University of Toronto and Sunnybrook Health Sciences Centre. Her program of research focuses on the evaluation and implementation of time sensitive interventions in acute emergencies, including cardiac arrest. Laurie is a member of ILCOR, where she has been named a ‘Giant in Resuscitation’. Outside of ILCOR, Laurie has led the way establishing ‘Rescu’ – a collaborative prehospital research network wherein investigators conduct randomised controlled trials and outcome validation studies in resuscitation research. Laurie continues to provide leadership to several committees including the network of Canadian Emergency Medicine Researchers, and she has has received honorary membership to the European Resuscitation Council for life time achievement in resuscitation science. We hope you enjoy this episode, and as ever please send us feedback or questions. Please remember to hit subscribe!   We are delighted to be sponsored by Corpuls - delivering high-tech and innovative equipment for emergency and intensive care medicine for over 35 years.  

G'day and welcome back to the Sydney HEMS debrief, with our focus still firmly on cardiac arrest.  In this episode 14, Nat is joined by Dr Helen Oliver in conversation with Dr Caroline Leech from the UK. Caroline is an emergency and pre-hospital physician who's academic interest focuses on maternal cardiac arrest. Specifically, Caroline's work concerns resuscitative hysterotomy; the when, the how, and the what to do after performing this HALO procedure.  Additionally, Nat, Helen and Caroline discuss the physiology of maternal cardiac arrest and how we can best optimise our holistic resuscitation care as well as some of the ethical considerations surrounding this very challenging and confronting circumstance.  We hope you enjoy this challenging episode, and of course share widely with your network.  Chat soon.   We are delighted to be sponsored by Corpuls - delivering high-tech and innovative equipment for emergency and intensive care medicine for over 35 years.

Welcome back, this is part two of Nat's chat with Dr PO Berve from Norway.  Continuing the conversation, Nat and PO discuss physiological markers of ALS effectiveness as well as broach how to most judiciously use adrenaline during cardiac arrest. Too, PO dives into how to use the end tidal capnogram as a marker of CPR effectiveness - and it is not how you may think! Of course, this would not be a Sydney HEMS debrief episode without talking about eCPR and ventilation during CPR - the later being a favourite topic of Nat's for sure. As ever, thanks for listening and chat again soon.    We are delighted to be sponsored by Corpuls - delivering high-tech and innovative equipment for emergency and intensive care medicine for over 35 years.