ALS Insights – Life Support Institute of Australia
ANZCOR-aligned ALS and CPD insights for Australian paramedics, nurses and doctors. Short, practical episodes on high-quality CPR, reversible causes, algorithms and more.
- Indexed episodes, last 90 days
- 3
- Latest publication
- Sep 1, 2026
- Audience
- Checking…
- Earliest in this view
- Jul 9, 2026
Latest episodes
Post-Arrest: Who Actually Needs the Cath Lab? (opens the original)
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Should every patient go to the cath lab after cardiac arrest? "Rush everyone" is the wrong answer — and this episode explains why. We walk through the post-ROSC coronary decision: considering ACS in every post-arrest patient, how the 12-lead ECG drives it, immediate angiography for ST-elevation, and what the COACT and TOMAHAWK trials showed for patients without ST-elevation — plus the high-risk features that still warrant urgent cath. ANZCOR-aligned reasoning for paramedics, nurses and doctors.
Haemodynamic Optimisation After ROSC- Are You Watching the Patient or Saving the Brain (opens the original)
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ROSC is not the finish line — it fires the starting gun on a second wave of injury that most clinicians never see coming.In this episode we dive deep into post-arrest haemodynamic management: why the post-arrest brain loses cerebral autoregulation entirely and becomes 100% dependent on systemic blood pressure, what MAP ≥65 mmHg means at the bedside, and how to approach post-arrest hypotension — from cautious fluid resuscitation through to vasopressor selection and why noradrenaline is the agent
Stable or Unstable? The One Question That Changes Everything in Pre-Arrest Care (opens the original)
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In pre-arrest arrhythmia management, one clinical question sits above all others — and your answer to it determines whether you have time to think or need to act right now. In this episode we break down the haemodynamic stability assessment: what "unstable" actually means in an ALS algorithm (it's narrower than most clinicians assume), the four adverse features that define it, and why getting this distinction right stops you from either under-treating a deteriorating patient or over-treating a s
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