Traumatic cardiac arrest: Difference between revisions

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==Differential Diagnosis==
==Differential Diagnosis==
 
*Differential diagnosis should be thought of in terms of reversible causes
**Massive hemorrhage and hypovolemia
**[[Tension pneumothorax]]
**[[Hemothorax]]
**[Cardiac tamponade]]
**[[Hypoxia]] and airway compromise
**[[Pelvic trauma]]
**Hemodynamically compromising long bone fractures


==Evaluation==
==Evaluation==

Revision as of 20:30, 29 August 2019

Background

  • Classically thought to death invariably
  • However, recent data suggests that survival from traumatic cardiac arrest is similar to that of medical causes of cardiac arrest[1]
    • One military study demonstrated 24% survival of patients who underwent resuscitation after traumatic arrest[2]

Clinical Features

  • Initial rhythm usually PEA

Differential Diagnosis

  • Differential diagnosis should be thought of in terms of reversible causes

Evaluation

Management

Disposition

See Also

External Links

References

  1. Traumatic cardiac arrest: who are the survivors? Lockey D, Crewdson K, Davies G. Ann Emerg Med. 2006 Sep; 48(3):240-4.
  2. The role of trauma scoring in developing trauma clinical governance in the Defence Medical Services. Russell RJ, Hodgetts TJ, McLeod J, Starkey K, Mahoney P, Harrison K, Bell E Philos Trans R Soc Lond B Biol Sci. 2011 Jan 27; 366(1562):171-91.