@HeidiAbdelhady I think basically because the ROC PRIMED Trial from 10 years ago did not show a clear benefit. But the post-hoc analysis of that study selecting out good quality CPR patients is very intriguing: https://t.co/W9aaPvnbNm

@DrHowieMell @smithECGBlog @DitchDoc14 The ROC PRIMED study documented CPR quality. There was some *really crappy CPR performed in some patients. Take a look at this post hoc analysis paper looking at the good CPR group: https://t.co/W9aaPvnbNm The neuro intact survival benefit is hard to ignore.

@momedic9019 @smithECGBlog @DrHowieMell @DitchDoc14 ROC-PRIMED was an OHCA RCT that looked at ITD without the plunger (ResQTrial was with). It was a negative trial... but there was some really poor documented CPR. A post hoc analysis looking at the good CPR group again showed neuro intact benefit. https://t.co/W9aaPvnbNm

@DitchDoc14 @smithECGBlog @DrHowieMell Great question. The ROC PRIMED post-hoc analysis Steve mentioned is provocative: https://t.co/W9aaPvnbNm