Is 15 minutes an appropriate resuscitation duration before termination of a traumatic cardiac arrest? A case-control study

The American Journal of Emergency Medicine
Cheng-Yu ChienYi-Ming Weng

Abstract

Previous guidelines suggest up to 15 minutes of cardiopulmonary resuscitation (CPR) accompanied by other resuscitative interventions before terminating resuscitation of a traumatic cardiac arrest. The current study evaluated the duration of CPR according to outcome using the model of a county-based emergency medical services (EMS) system in Taiwan. This study was performed as a prospectively defined retrospective review from EMS records and cardiac arrest registration between June 2011 and November 2012 in Taoyuan, Taiwan. A total of 396 patients were enrolled. Among the blunt injuries, most incidents were traffic accidents (66.5%) followed by falls (31.5%). Bystander CPR was performed in 34 patients (8.6%). Of the patients, 18.4% were sent to intermediate to advanced level traumatic care hospitals. Although 4.8% of patients survived for 24 hours, only 2.3% survived to discharge, and 0.8% achieved cerebral performance category 1 or 2. Among all patients who developed return of spontaneous circulation (ROSC), 14.3% of ROSC was achieved within 15 minutes since CPR. Except for 1, most patients who developed ROSC over 24 hours but did not survive to discharge received CPR more than 15 minutes. Four of 6 patients who survived to dis...Continue Reading

References

Jul 31, 2004·The Journal of Trauma·Charles D DeakinGareth Davies
May 28, 2005·The Journal of Trauma·John J PickensEileen M Bulger
Aug 29, 2006·Annals of Emergency Medicine·David LockeyGareth Davies
Jun 19, 2007·Resuscitation·Stefan Huber-WagnerUNKNOWN Working Group on Polytrauma of the German Trauma Society (DGU)
Oct 19, 2007·Critical Care Medicine·Jean-Stephane DavidPaul Petit
Oct 20, 2010·World Journal of Surgery·Yoshihiro MoriwakiNoriyuki Suzuki
Oct 15, 2011·Resuscitation·Conor DeasyPeter Cameron
Oct 4, 2013·The Journal of Trauma and Acute Care Surgery·Michael G MillinUNKNOWN Subcommittee on Emergency Services–Prehospital of the American College of Surgeons’ Committee on Trauma (ACSCOT)

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Citations

Dec 11, 2020·International Journal of Emergency Medicine·Alexander F BedardNee-Kofi Mould-Millman
Jun 8, 2021·Notfall & Rettungsmedizin·Spyros D MentzelopoulosLeo Bossaert

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