Traumatic Arrest

Question 1

Any patient that is in cardiac arrest as a result of electrocution or lightning injury

Answer 1

should receive immediate defibrillation, if applicable.

Question 2

DO NOT RESUSCITATE TRAUMA PATIENTS IF ALL OF THE FOLLOWING
PRESUMPTIVE SIGNS OF DEATH ARE PRESENT:

Answer 2

INJURIES INCAPATIBILE WITH LIFE and /or
1) Apneic
2) Pulseless (Asystole confirmed in two leads)
3) Fixed and dilated pupils

Question 3

Trauma patients in cardiac arrest (either found to be in arrest or have arrested in the presence of Fire Rescue personnel),

Answer 3

prophylactic bilateral needle decompression OR FINGER THORACOSTOMY SHOULD BE PERFORMED. Resuscitation efforts do NOT need to be continued if the patient did not regain pulses immediately following the bilateral needle decompression OR THORACOSTOMY. Resuscitation should be terminated

Question 4

Signs and Symptoms of compensated Shock

Answer 4

Anxiety, agitation, restlessness, normotensive, capillary refill normal to delayed
Tachycardia (a weak rapid pulse greater than 130 beats/min is usually a sign of
shock in children of all ages except neonates)

Question 5

Signs and Symptoms of Decompensated Shock

Answer 5

Decreased LOC, hypotension, peripheral cyanosis, delayed capillary refill,
inequality of central/distal pulses, and tachycardia (later progressing to
bradycardia)