Predictive utility of cardiac ultrasound in traumatic cardiac arrest in a combat casualty

Journal of the Royal Army Medical Corps
Rex Kinnear-MellorR Rickard

Abstract

We report a case of traumatic cardiac arrest in a combat casualty who was resuscitated to return of spontaneous circulation despite asystole and no visible cardiac activity on initial ultrasound examination. This return of spontaneous circulation suggests that survival may be possible in traumatic cardiac arrest due to exsanguination, even when there is no demonstrable cardiac activity on ultrasound. Cardiac ultrasonography was performed for 10 s only. We suggest that cardiac ultrasonography should be performed for a minimum of 1 min during volume resuscitation. If absence of cardiac activity is confirmed once the heart is full, and there are no other signs of life (including pupillary reaction), then termination of resuscitation should be considered.

References

Oct 1, 1989·The Journal of Trauma·G K LunaC L Rice
Sep 28, 2001·Annals of Emergency Medicine·D P MandaviaS O Henderson
Jun 30, 2012·The Journal of Trauma and Acute Care Surgery·Elizabeth L CuretonGregory P Victorino
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

Nov 1, 2016·Emergency Medicine Journal : EMJ·François-Xavier DuchateauUNKNOWN Traumabase Group

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