After ROSC, ST-elevation is a rather reliable sign of coronary occlusion - but not the only one. I was lucky to contribute to a study led by Claudio Silwanis & Thomas Lambert: in 214 post-ROSC patients, strict ST-elevation criteria caught 44% of angiographically confirmed coronary occlusions.

Physiology-guided CPR: targeted interventions, aiming for ill defined goals? Not news, but it emerged clearer than ever in the session at #RESUS26. A thread on why we can't trust the numbers our devices show us during CPR — and what it would take to fix that. 🧵

Chest compression induced airflow reversals complicate flow-based detection of respiratory phases. Multiply flow by airway pressure & phases reappear: perfect phase classification, F1 0.971 for exact onsets during ongoing compressions. Led by @simonorlob.bsky.social doi.org/10.1016/j.re...

Deduplicating literature-search results is important - and tedious. So we built deduplicate.it: a free, open-source tool that removes unambiguous duplicates in a conservative first pass, then gives you one clean file for manual review. #SystematicReviews #OpenScience #EvidenceSynthesis

A prespecified defibrillator-malfunction endpoint is half of the answer if nobody mandates how the device is checked. Of 8 DSED trials we tabulated replying to Schnaubelt et al., only 2 describe a post-use testing procedure, while almost all record malfunction in some way. doi.org/10.1016/j.re...

TEE during CPR - ILCOR ALS scoping review: 22 studies, 1,254 patients. Insertion feasible in 80–100%, management altered in 31–48%, but the two (small) RCTs found no difference in ROSC, survival or neurological outcome. Led by @tscquizzato.com doi.org/10.1016/j.re...

Out now in Campbell Systematic Reviews, for anyone doing systematic or scoping reviews: deduplicate.it does preliminary deduplication and saves time. Returns a consolidated file + audit trail + PRISMA flowchart. 77–90% duplicates removed, 68–87% less time. Free, open source. doi.org/10.1177/1891...

Point-of-care-ultrasound during resuscitation can identify reversible causes - but only effective team coordination can ensure that sonography adds value without interfering with other CPR processes. Our SOP on this: (In German) doi.org/10.1055/a-26...

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Evaluating for pneumothorax is the most accurate aspect within the eFAST protocol - and the most actionable finding in a pre-hospital setting. For an optimized eFAST algorithm in an Austrian ambulance system, we therefore put the thorax first - a long way before the abdomen. doi.org/10.31247/agn...

Already from last year - but never shared it: A prehospital lung ultrasound protocol built for providers who haven't scanned every day until now: time limits, standardised sequences, and a governance framework for training and QA. Implemented in an Austrian ambulance service. doi.org/10.1002/jum....

An Integrated Prehospital Point‐of‐Care Lung Ultrasound Protocol for Patients With Dyspnea

We present a time-efficient, clinically integrated lung ultrasound protocol tailored for prehospital use by providers not yet routinely using ultrasound. Specifically designed to support the recognit...

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✅ Stay up to date with the latest in resuscitation science, education & practice-changing insights. 💙 Follow ERC here and on LinkedIn, X (@ERC_resus) & Facebook (@erc.resus). 🔗 Explore full programme: bit.ly/3TmiyyV 🔗 Join us in Milan: www.erc.edu/events/congr... #EduSky #ERC #CPR #Resuscitation

#DSED is increasingly implemented for refractory VF, and dual cardioversion seems effective for elective cases too. Question I've discussed too often with colleagues - everyone had opinions, no one a well-founded answer - is simple: is this safe for the #defibrillators? doi.org/10.1016/j.re...

Great exchange with Nehme & team on trial of manual pressure augmented defibrillation. Overall neutral, sex-stratified signal favoured females - plausible because breast/subcutaneous tissue raises impedance and is compressible. doi.org/10.1016/j.resuscitation.2026.111185 @resuscitation.bsky.social

Do CPR manikins simulate ventilation accurately? We tested 10, found leakage in all models, even with advanced airways, wide variation in compliance and peak pressure, and air leaking through the i-gel® gastric channel in some combinations. doi.org/10.1016/j.resplu.2026.101318 #Resuscitation #CPR

Taking the probe away from an ultrasound learner is like taking the bike away from someone learning to ride — and showing them a video instead. We shouldn’t expect applicable skill without real hands-on practice. doi.org/10.24908/poc... @simonorlob.bsky.social @pocusjournal.bsky.social

Just back from #ERC (@ercresus.bsky.social) congress #Resuscitation2025 in #Rotterdam — and what an event! A few highlights 👇 💡 New ERC Guidelines 🌉 Building bridges 🚀 New opportunities ahead 🇮🇹 Next stop: Milan! Full recap + links 🔗: www.linkedin.com/posts/purkar...

#resuscitation2025 #rotterdam | David Purkarthofer

I was lucky to attend the ERC Congress #Resuscitation2025 in #Rotterdam — and even luckier to have a bonus day to explore this fascinating city. Knowing that many colleagues had to rush home, I though...

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🏆 Grateful and proud: our project “Fokussierte Sonographie durch NKI-Rettungsmedizinerinnen”* on #prehospital #POCUS has been awarded the Camillo Award 2025 by @bvrd.bsky.social ! A big shout-out to the amazing #Medizinercorps Graz team — this is truly a collective achievement.

#Women are shown in less than 10% of easily findable educational depictions of #CPR - we have to change that. doi.org/10.1016/j.re... @ercresus.bsky.social @simonorlob.bsky.social @americanheart.bsky.social @eusem.bsky.social #Resuscitation #Inequalities #CPR #Women

What a nice coincidence: My first post to share my first blog post for @stemlyns.bsky.social - looking back at the fantastic @eusem.bsky.social congress in October. #EuSEM #Copenhagen

St Emlyn's podcast and blog@stemlyns.bsky.social · 2y ago

Let's catch up on some great conferences from 2025. In this blog David Purkarthofer from Austria reviews the highlights from the fantastic EuSEM conference held in Copenhagen earlier this year, and looks forward to Vienna in 2025. #FOAMed @stemlyns