Traumatic Arrest

Traumatic Cardiac Arrest; for many of us an infrequent presentation and it that lies the problem.

In our previous cardiac arrest podcast we talked about the approach to the arresting patient, however in trauma the approach change significantly.

We require a different set of skills and priorities and having the whole team on board whilst sharing the same mental model is key.

Have a listen to the podcast and let us know your thoughts. The references are below but if you only read one thing take a look at the ERC Guidelines on traumatic cardiac arrest which we refer to.

Enjoy!

SimonRob & James

References & Further Reading

Resuscitation to Recovery Document

Roadside to Resus; Cardiac Arrest

ERC Guidelines; Traumatic Arrest

Traumatic cardiac arrest: who are the survivors? Lockey D. Ann Emerg Med. 2006

Conversion to shockable rhythms during resuscitation and survival for out-of hospital cardiac arrest. Wah W. Am J Emerg Med. 2017 

Resuscitation attempts and duration in traumatic out-of-hospital cardiac arrest. Beck B. Resuscitation 2017.

An evidence-based approach to patient selection for emergency department thoracotomy: A practice management guideline from the Eastern Association for the Surgery of Trauma. Seamon MJ. J Trauma Acute Care Surg. 2015

EAST guidelines 2015; ED Thoracotomy

Comments

6
  1. Hi there….

    just would like to ask whether I can use your “the resus room” logo within a blogpost about this episode here in Germany. Thanks a lot in advance.

  2. What is your opinion of LR vs NS for resus fluid? TIA!

    • Hi Phil

      I think the point is that the use of crystalloids should only be in extremis, as per the NICE guidelines, and that very small boluses should be used whilst awaiting blood products if possible. With that in mind if you’re using small volumes I would anticipate not a huge difference between the 2 but a balanced solution such as Ringers may have a slight theoretical advantage.

      But wherever possible blood needs to be replaced with blood.

      Thanks for the question.

      Cheers

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