Lars Wik

Emergency medicine scientist and anesthesiologist with clinical prehospital and in hospital experience since 1982. PI for a number of CPR outcome studies.

[Lars Wik @larswik1]

@EMSAvenger Using words like this indicate that we are too close to Stryker. Many of the authors have nothing to do with Stryker. It is about controlling compression with mechanical device.

[Lars Wik @larswik1]

@BrooksWalsh Lucas is not standard of care around the World. But as you may know, manual chest compressions are delivered in many ways. Therefore, we investigated the physiology of invasive blood pressure after a compression pause needed to control chest compression delivery.

[Lars Wik @larswik1]

Inven2 Innovasjonsprisen 2024. https://t.co/sDfZvdFO7n

[Lars Wik @larswik1]

AddThis | Home https://t.co/X5T4WF2x2W

[Lars Wik @larswik1]

Again and again. Why do the experts not focuses on where on the chest you apply your compression point? During the last 50 years we have NOT compressed correctly according to where the heart ventricle is.

[Lars Wik @larswik1]

OUS har overvåket mer enn 200 covid-19-pasienter hjemme: – Skjermer sykehuset https://t.co/c9FqcqUSaK

[Lars Wik @larswik1]

This is a graph of Covid 19 deaths for these countries. They have chosen different strategies. History will tell who did correct. Infographic: Koronadødsfall - https://t.co/GaeTjNfMXB

[Lars Wik @larswik1]

Just started a randomized prospective study of home isolated Covid 19 infection patients with electronic biosensors to measure heart rate (HR), HR variability, stroke volume, resp rate, pulsox, temp, blood pressure and NEWS II. Will they be hospitalized before they are very sick?

[Lars Wik @larswik1]

Mikkel T Steinberg give a talk regarding kids cardiac arrests and defend his thesis at 1015 Thursday December 20 at Oslo University Hospital

[Lars Wik @larswik1]

Mikkel T Steinberg defence his Thesis regarding the CIRC trial and LUCAS2 ADstudy at the University of Oslo December 20, 2018. Come and be educated.

[Lars Wik @larswik1]

The Medical Thermo Band was used on a patient with Hyperthermia a few days ago with good effect.

[Lars Wik @larswik1]

TTM, compared 32-34 with 36 C, neutral. Guidelines advocate 36 C. CIRC, PARAMEDIC, LINC, all neutral trials. Guidelines do not support mechanical. The results are in principle the same for all these studies but with total different recommendations. Why? Please educate me.

[Lars Wik @larswik1]

We should explore how to ventilate newborns and kids during CPR. Is it correct with continuous chest compressions with a pop of valve for ventilation? What about 15:2 for the intubated kid?

[Lars Wik @larswik1]

Do NOT be happy with low CO2 values during mechanical CPR. Change compression point in order to increase CO2 because in most cases left ventricle is not compressed.

[Lars Wik @larswik1]

Change compression spot in order to facilitate blood flow and use CO2 measure as a guide to the correct place. Holds true for mechanical devices also.

[Lars Wik @larswik1]

Using supraglottic devices for ventilation and not stopping chest compressions should reconsider how to provide good ventilation.

[Lars Wik @larswik1]

With mechanical CPR we should explore ratio 20:2. Mechanical devices should reflect this. Integrated ventilation is difficult.

[Lars Wik @larswik1]

Recommendation of ratio is based on manual chest compressions combined with either bag mask or endotracheal intubation ventilation. Change?

[Lars Wik @larswik1]

Guidelines and Recommendations are based on manual CPR. We need tailored Guidelines and Recommendations for mechanical CPR.

[Lars Wik @larswik1]

If you use a supraglottic device during CPR you have to change to ratio 30:2 chest compression ventilation.