PMID: 9547837Apr 21, 1998Paper

Efficacy of cardiopulmonary resuscitation in pulseless paediatric trauma patients

Resuscitation
P SuominenA Kivioja

Abstract

A study was designed to determine which paediatric trauma patients with no detectable vital signs are likely to benefit from cardiopulmonary resuscitation (CPR). A 10-year retrospective study of all pulseless patients under 16 years of age with trauma in whom CPR was initiated in a prehospital or in-hospital setting in Southern Finland. Forty-one patients, 25 male and 16 female, were included in this study. The mean age was 7.8 years (range 0.1-15.9 years). Twenty three patients had blunt injuries and three patients had penetrating injuries. The mean Injury Severity Score was 51 (range 25-75). In 15 patients, the arrest was secondary to smoke inhalation, strangulation or electric shock. Resuscitation was initiated at the scene or en route in 28 patients and in 13 patients at the hospital. Five patients received open-chest CPR and 36 patients closed-chest CPR. Spontaneous circulation was restored in four patients with open-chest CPR and in six patients with closed-chest CPR. Two patients had intact survival and one patient survived with moderate disability. The mechanism of traumatic cardiac arrest, initial cardiac rhythm or location of arrest did not seem to affect outcome of CPR. The overall survival rate of paediatric patient...Continue Reading

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Citations

Feb 5, 2004·Journal of the American College of Surgeons·Zsolt T Stockinger, Norman E McSwain
Mar 22, 2003·Journal of the American College of Surgeons·Laura R HopsonUNKNOWN American College of Surgeons Committee on Trauma
Apr 18, 2007·Pediatric Emergency Care·Mary Bennett, Niranjan Kissoon
Feb 23, 2010·The Journal of Trauma·Lars Widdel, Ken R Winston
Aug 23, 2001·Archives of Disease in Childhood·M A Robertson, E M Molyneux
Jul 10, 2012·Critical Care : the Official Journal of the Critical Care Forum·Jörn ZwingmannPeter C Strohm
Aug 28, 2014·The Journal of Trauma and Acute Care Surgery·Vincent DuronJeffrey S Upperman
Mar 25, 2014·Annals of Emergency Medicine·Mary E FallatMary E Fallat
Mar 2, 2016·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Hugo KjellemoLars Wik
May 5, 2010·Journal of Pediatric Surgery·Anthony R CapizzaniPeter F Ehrlich
Apr 11, 2007·Resuscitation·K CrewdsonG Davies
Oct 20, 2015·Resuscitation·Ian K MaconochieUNKNOWN Paediatric life support section Collaborators
Jan 29, 1999·Annals of Emergency Medicine·L Quan
Jan 13, 2012·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Valerie J De MaioUNKNOWN CanAm Pediatric Study Group
Dec 15, 2017·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Mathias J HolmbergUNKNOWN American Heart Association’s Get With The Guidelines-Resuscitation Investigators
Aug 29, 2000·Anesthesia and Analgesia·W G VoelckelV Wenzel
Dec 9, 2016·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Victoria Maria RoteringMark Schoberer
Oct 24, 2001·Anaesthesia and Intensive Care·P Forrest
Jul 10, 2003·Critical Care Clinics·Marilyn C Morris, Vinay M Nadkarni

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