Does Anyone Go to the Cath Lab?

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From the ResusX:2025 resuscitation conference:
Does every post-arrest patient need an immediate trip to the cath lab? For years, the reflex was "yes," but recent landmark trials are changing the standard of care for emergency physicians and cardiologists alike.

In this deep dive, Dr. Trott breaks down the shift from immediate to delayed selective PCI, analyzing why the COACT and TOMAHAWK trials have cardiologists staying in bed at 4 AM—and the 3 critical "red flags" that mean the patient still needs an emergent intervention.

???? KEY TOPICS IN THIS VIDEO
0:00 - The 67-Year-Old "Classic" Arrest Case
1:15 - Pre-Hospital ECG: Ominous vs. Expected
2:30 - The "Culprit Lesion" Myth: What the Data Actually Says
3:45 - Mechanism of Death: Why Reperfusion Doesn't Always Save the Brain
5:10 - COACT Trial (2019): A Shock to the System
6:45 - TOMAHAWK Trial (2021): Does Early PCI Increase Mortality?
8:15 - The "Crossover" Secret: Why 20% of Patients Still Need the Lab
9:30 - The 3 Indications for Emergent Cath Lab Activation

Want to watch more from ResusX:2025? Get 4 FREE videos from the conference from Anand Swaminathan, Amal Mattu, Sara Crager, Reuben Strayer, and Mike Carunchio: https://www.resusx.com/resusx2025/mini

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#EmergencyMedicine #Cardiology #FOAMed #InternalMedicine #ACLS #MedicalEducation
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Cardiology
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