Prehospital cardiopulmonary resuscitation in the pediatric trauma patient

Journal of Pediatric Surgery
Joseph T MurphyR Todd Maxson

Abstract

Children requiring prehospital cardiopulmonary resuscitation (CPR) after traumatic injury have been shown to have poor survival. However, outcome of children still receiving CPR on-arrival by emergency medical service to the emergency department (ED) has not been demonstrated in a published clinical series. An 11-year retrospective analysis from a level I pediatric trauma center of the outcomes of children requiring prehospital CPR after traumatic injury was undertaken. Outcome variables were stratified by survival, death, and CPR on-arrival. Of 169 children requiring prehospital CPR, there were 28 survivors and 141 deaths. Of 69 children requiring CPR on-arrival to the ED, there were no survivors. There were 70 females and 99 males. Mean age of survivors was 3.4 years; nonsurvivors, 8.8 years; and 4.6 years for CPR on-arrival. Thirty-nine percent of all injuries were sustained in motor vehicle collisions; 20%, motor pedestrian collisions; 19%, assaults; 7%, falls; 4%, all terrain vehicle/motorcycle/bicycle; and 4%, gunshot wounds. Forty-two percent of all patients expired in the ED, whereas 34% expired in the intensive care unit. Eighty-seven percent of CPR on-arrival patients expired in the ED. Fifty-five percent of survivors...Continue Reading

References

Aug 25, 1999·Pediatric Emergency Care·B Fisher, M Worthen
Jan 24, 2002·Current Opinion in Critical Care·M Eckstein

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Citations

Nov 28, 2012·International Journal of Critical Illness and Injury Science·J Grant McFadyenSanjay M Bhananker
Aug 26, 2014·Journal of Pediatric Surgery·Deidre L WyrickR Todd Maxson
Mar 25, 2014·Annals of Emergency Medicine·Mary E FallatMary E Fallat
Oct 20, 2015·Resuscitation·Koenraad G MonsieursUNKNOWN ERC Guidelines 2015 Writing Group
Oct 20, 2015·Resuscitation·Ian K MaconochieUNKNOWN Paediatric life support section Collaborators

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