Traumatic arrest

Question 1

What are three treatable causes that must be simultaneously identified and reversed in traumatic arrest

Answer 1

-Hypovolemia (Deadly bleeding)
-Hypoxemia
-Tension Pneumothorax (Obstructive Shock)

Question 2

When is discontinuation appropriate in blunt traumatic arrest?

Answer 2

-Early DC orders are to be obtained once all treatable causes have been address without ROSC.

Question 3

What should. the primary focus of care providers be when attending a traumatic cardiac arrest?

Answer 3

-Hemorrhage control through tourniquets,direct pressure and wound packing.

Question 4

When should early conveyance be considered in traumatic arrest

Answer 4

-Penetrating chest/abdominal trauma
-Initial rhythm is PEA
-Loss of pulse to trauma centre time is less than 15 minutes (20 mins if in Van-costal)

Question 5

What is the preferred site for needle thoracentesis?

Answer 5

5th intercostal. space mid axillary line.

Question 6

For patients presenting in traumatic arrest with an initial rhythm of Wide/slow PEA less than 40, or Asystole what is the likely clinical outcome

Answer 6

-Outcome likely to be poor, DC orders should be considered early.

Question 6

For patients presenting in traumatic arrest with an initial rhythm of Wide/slow PEA less than 40, or Asystole what is the likely clinical outcome

Answer 6

-Outcome likely to be poor, DC orders should be considered early.