Barney Scholefield
barneyuob.bsky.social
Barney Scholefield
@barneyuob.bsky.social
#Pedsicu Dr in 🇨🇦 ‘23 #CPR & #prognosis research, Dir of Neurocrit Care, SickkidsCCM, Chair Paed Task Force ilcor_org; Family man, +ve thinker, own thoughts

..and finally, so the 'big children' clinicians don't feel they are missing out - the adult good outcome prediction review, which inspired our work by Claudio Sandroni & team, can be found here : link.springer.com/article/10.1... /8 end
Prediction of good neurological outcome in comatose survivors of cardiac arrest: a systematic review - Intensive Care Medicine
Purpose To assess the ability of clinical examination, blood biomarkers, electrophysiology or neuroimaging assessed within 7 days from return of spontaneous circulation (ROSC) to predict good neurolog...
link.springer.com
January 7, 2025 at 5:44 PM
and summarized in this graphic here./7
January 7, 2025 at 5:44 PM
Recommendations from this original work have also appeared in the ILCOR Consensus on Science Treatment Recommendation publication:

resuscitationjournal.com/article/S030...

/6
2023 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Pediatric Life Support; Neonatal Life Support; Education, Implementation, and Teams; and First Aid Task Forces
The International Liaison Committee on Resuscitation engages in a continuous review of new, peer-reviewed, published cardiopulmonary resuscitation and first aid science. Draft Consensus on Science With Treatment Recommendations are posted online throughout the year, and this annual summary provides more concise versions of the final Consensus on Science With Treatment Recommendations from all task forces for the year. Topics addressed by systematic reviews this year include resuscitation of cardiac arrest from drowning, extracorporeal cardiopulmonary resuscitation for adults and children, calcium during cardiac arrest, double sequential defibrillation, neuroprognostication after cardiac arrest for adults and children, maintaining normal temperature after preterm birth, heart rate monitoring methods for diagnostics in neonates, detection of exhaled carbon dioxide in neonates, family presence during resuscitation of adults, and a stepwise approach to resuscitation skills training.
resuscitationjournal.com
January 7, 2025 at 5:44 PM
Also, just the start of a journey – with poor outcome single test prediction paper to follow soon and then the big challenge of multi-modal testing algorithms. 2025 will be busy. /5
a cartoon drawing of a man with blue hair using a laptop computer
ALT: a cartoon drawing of a man with blue hair using a laptop computer
media.tenor.com
January 7, 2025 at 5:44 PM
This was an ambitious project, supported by the phenomenal ILCOR peds team! Thank you /4
January 7, 2025 at 5:44 PM
Main paper includes overview of quality & quantity of literature and why we chose ‘Good Outcome’. Also difference to ‘Poor outcome’ prediction. The supplemental data is huge and has sensitivity and false positive rate for tests across all time stages (eg MRI 👇) Enjoy! /3
January 7, 2025 at 5:44 PM
We provide a catalogue of accuracy for predictive *single* tests used in the #pedsICU after cardiac arrest: Clin exam, biomarkers, electrophysiology & imaging. TL:DR Individual tests reaching a threshold (False Positive Rate <30%) 👇. But work on best combination needed. /2
January 7, 2025 at 5:44 PM
Awesome summary Natalie, thank you!!
December 9, 2024 at 3:34 PM
Just a little, local waterfall #sunrise
December 7, 2024 at 2:27 PM
You beat me!! I’m also just here having a little look around!!
November 11, 2024 at 12:28 PM