Traumatic Cardiac Arrest

Question 1

Recite the Traumatic Arrest CPG

Answer 1

Question 2

What monitoring/intervention must be done immediately after haemorrhage control?

Answer 2

Attach defib pads and interpret rhythm.

This allows for the assessment of the patient’s cardiac status.

Question 3

If the patient has penetrating truncal trauma with PEA, what is the key transport consideration?

Answer 3

Immediate transport and early notification to the MTS if within 20 minutes from loss of vital signs.

Early notification ensures timely resources are available upon arrival.

Question 4

What airway manoeuvres should be used initially?

Answer 4

Airway manoeuvres and positioning.

Proper positioning can help maintain airway patency.

Question 5

What airway adjunct can be inserted if required?

Answer 5

Supraglottic airway (SGA).

SGA is used to secure the airway when traditional methods fail.

Question 6

If SGA is inadequate, what should be the next airway intervention?

Answer 6

Endotracheal tube (ETT) by MICA

ETT is a more secure method of airway management.

Question 7

What is the priority breathing intervention?

Answer 7

Ventilation.

Ensuring adequate ventilation is crucial for oxygenation.

Question 8

What procedure should be performed bilaterally for suspected tension pneumothorax?

Answer 8

Needle thoracostomy (bilateral).

This procedure relieves pressure in the pleural space.

Question 9

What fluid should be administered and in what volume?

Answer 9

Normal Saline 2 L IV.

Normal Saline helps in fluid resuscitation.

Question 10

What stabilising device should be applied if indicated?

Answer 10

Pelvic splint.

A pelvic splint helps stabilize pelvic fractures.

Question 11

What type of fluid product is preferred over saline if available?

MICA

Answer 11

PRBCs (Packed Red Blood Cells) – with no maximum dose.

PRBCs are preferred due to their effectiveness in treating significant blood loss.