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Emerg. Med. Clin. North Am. · Feb 2018
ReviewReanimating Patients After Traumatic Cardiac Arrest: A Practical Approach Informed by Best Evidence.
- Chris Evans, David O Quinlan, Paul T Engels, and Jonathan Sherbino.
- Trauma Services, Department of Emergency Medicine, Queen's University, Kingston General Hospital, Victory 3, 76 Stuart Street, Kingston, Ontario K7L 2V7, Canada.
- Emerg. Med. Clin. North Am. 2018 Feb 1; 36 (1): 19-40.
AbstractResuscitation of traumatic cardiac arrest is typically considered futile. Recent evidence suggests that traumatic cardiac arrest is survivable. In this article key principles in managing traumatic cardiac arrest are discussed, including the importance of rapidly seeking prognostic information, such as signs of life and point-of-care ultrasonography evidence of cardiac contractility, to inform the decision to proceed with resuscitative efforts. In addition, a rationale for deprioritizing chest compressions, steps to quickly reverse dysfunctional ventilation, techniques for temporary control of hemorrhage, and the importance of blood resuscitation are discussed. The best available evidence and the authors' collective experience inform this article.Copyright © 2017 Elsevier Inc. All rights reserved.
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