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Emerg Med Clin North Am ; 36(1): 19-40, 2018 Feb.
Article in English | MEDLINE | ID: mdl-29132577

ABSTRACT

Resuscitation of traumatic cardiac arrest is typically considered futile. Recent evidence suggests that traumatic cardiac arrest is survivable. In this article key principles in managing traumatic cardiac arrest are discussed, including the importance of rapidly seeking prognostic information, such as signs of life and point-of-care ultrasonography evidence of cardiac contractility, to inform the decision to proceed with resuscitative efforts. In addition, a rationale for deprioritizing chest compressions, steps to quickly reverse dysfunctional ventilation, techniques for temporary control of hemorrhage, and the importance of blood resuscitation are discussed. The best available evidence and the authors' collective experience inform this article.


Subject(s)
Cardiopulmonary Resuscitation , Out-of-Hospital Cardiac Arrest/therapy , Wounds and Injuries/therapy , Cardiopulmonary Resuscitation/methods , Evidence-Based Medicine , Hemorrhage/therapy , Humans , Out-of-Hospital Cardiac Arrest/etiology , Wounds and Injuries/complications
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