Traumatic cardiac arrest

Barnard, Edward; Cesaréo, E.

doi:10.1016/j.accpm.2022.101077

Cited by 3 publications

(3 citation statements)

References 23 publications

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“…[13,14] Rysunek 3. Elektrokardiogram ukazujący asystolię [19] W udzielaniu pierwszej pomocy osobie z asystolią ( jest to rytm nie do defibrylacji) kluczowa jest jak najszybsza resuscytacja krążeniowo-oddechowa oraz zabezpieczenie dostępu dożylnego i podanie adrenaliny dożylnie.…”

Section: Skutki Porażenia Prądem Elektrycznymunclassified

Analysis and assessment of the knowledge regarding to exploitation of electrical installations, risks and due to electric shock

Rektor,

Bronst,

Szabrańska

et al. 2023

J Educ Health Sport

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INTRODUCTION This study presents the dangers due caused by electric shock and how they affect the human body. This is an important issue, because each of the recipients of this study is a user of electrical installations and the number of devices that may carry an unwanted threat is constantly increasing in every household. AIM OF STUDY The main purpose of the study is to analyze the knowledge of studied population about low-voltage electrical installations in the places of their residence, as well as the danger and consequences of electrical shock. MATERIALS AND METHODS In order to verify the level of awareness of household electrical installations users, a survey was conducted, in which participants were given the opportunity to answer questions forming three main research problems. CONCLUSION A significant part of the collected results leads to the conclusion that, on average, every second person surveyed has significant shortcomings in basic training in the safe use of electrical installations, as well as its operation and, most importantly, in providing first aid to victims. A relatively large number of respondents are not aware of the need to perform maintenance work, technical inspections and basic activities ensuring safety for them and other household members. Introduction of mandatory prevention and cyclical training, e. g. during periodic building inspections, could be one of the steps to reduce the still high rate of fatal accidents due to electric shock in Poland.

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Section: Skutki Porażenia Prądem Elektrycznymunclassified

Analysis and assessment of the knowledge regarding to exploitation of electrical installations, risks and due to electric shock

Rektor,

Bronst,

Szabrańska

et al. 2023

J Educ Health Sport

View full text Add to dashboard Cite

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“…Up to 85% of patients sustain chest wall injuries, with one study showing a median of 8 anterior nondisplaced rib fractures in patients who undergo chest compressions 4 . For patients in a Low Output State of Trauma, defined as patients with agonal or absent respiration and absence of a central pulse, compressions also reduce intraaortic diastolic pressure and reduce filling rate, thereby possibly worsening thoracic injury 5 . Although closed chest compressions are known to carry a high mortality rate overall, data regarding outcomes by age is limited in trauma settings.…”

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confidence: 99%

“…4 For patients in a Low Output State of Trauma, defined as patients with agonal or absent respiration and absence of a central pulse, compressions also reduce intraaortic diastolic pressure and reduce filling rate, thereby possibly worsening thoracic injury. 5 Although closed chest compressions are known to carry a high mortality rate overall, data regarding outcomes by age is limited in trauma settings. In nontrauma settings, a systematic review found that 41% of patients older than 70 years who underwent cardiac compressions achieved return of spontaneous circulation (ROSC), but only 18% survived to discharge.…”

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confidence: 99%

The futility of closed chest compressions after trauma: A multi-institutional study

Fierro

Dhillon²,

Park

et al. 2023

J Trauma Acute Care Surg

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BACKGROUND:The desire to deliver appropriate care after trauma creates challenges when deciding to proceed if care appears futile. This study aimed to analyze survival rates for trauma patients who undergo closed chest compressions by decade of life. METHODS:A multicenter retrospective review of trauma patients with an Injury Severity Score ≥16 who underwent closed chest compressions from 2015 to 2020 at four large, urban, academic Level I trauma centers was conducted. Those with intraoperative arrest were excluded. The primary endpoint was survival to discharge. RESULTS:Of the 247 patients meeting inclusion criteria, 18% were 70 years or older, 78% were male, and 24% presented due to a penetrating mechanism of injury. Compressions occurred in the prehospital setting (56%), emergency department (21%), intensive care unit (19%), and on the floor (3%). On average, patients arrested on hospital day 2, and survived 1 day after arrest if return of spontaneous circulation was achieved. Overall mortality was 92%. Average hospital length of stay was lower in patients 70 years or older (3 days vs. 6 days, p < 0.01). Survival was highest in patients 60 years to 69 years (24%), and although patients 70 years or older presented with lower Injury Severity Scores (28 vs. 32, p = 0.04), no patient 70 years or older survived to hospital discharge (0% v 9%, p = 0.03). CONCLUSION:Closed chest compressions are associated with a high mortality rate after moderate to severe trauma with 100% mortality in patients older than 70 years. This information may assist with the decision to withhold chest compression, especially in older adults.

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Contemporary management of traumatic cardiac arrest and peri-arrest states: a narrative review

Carenzo,

Calgaro,

Rehn

et al. 2024

J Anesth Analg Crit Care

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Trauma is a leading cause of death and disability worldwide across all age groups, with traumatic cardiac arrest (TCA) presenting a significant economic and societal burden due to the loss of productive life years. Despite TCA’s high mortality rate, recent evidence indicates that survival with good and moderate neurological recovery is possible. Successful resuscitation in TCA depends on the immediate and simultaneous treatment of reversible causes according to pre-established algorithms. The HOTT protocol, addressing hypovolaemia, oxygenation (hypoxia), tension pneumothorax, and cardiac tamponade, forms the foundation of TCA management. Advanced interventions, such as resuscitative thoracotomy and resuscitative endovascular balloon occlusion of the aorta (REBOA), further enhance treatment. Contemporary approaches also consider metabolic factors (e.g. hyperkalaemia, calcium imbalances) and hemostatic resuscitation. This narrative review explores the advanced management of TCA and peri-arrest states, discussing the epidemiology and pathophysiology of peri-arrest and TCA. It integrates classic TCA management strategies with the latest evidence and practical applications.

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Traumatic cardiac arrest

Cited by 3 publications

References 23 publications

Analysis and assessment of the knowledge regarding to exploitation of electrical installations, risks and due to electric shock

Analysis and assessment of the knowledge regarding to exploitation of electrical installations, risks and due to electric shock

The futility of closed chest compressions after trauma: A multi-institutional study

Contemporary management of traumatic cardiac arrest and peri-arrest states: a narrative review

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