Article Text

Download PDFPDF

18 Traumatic cardiac arrest: is survival possible?
  1. C Camacho,
  2. G Mancho,
  3. E Pastor,
  4. MJ Garcia-Ochoa,
  5. E Corral
  1. SAMUR Protección Civil, Madrid, Spain

Abstract

Background Survival in traumatic PCR has been considered almost impossible, so it was even question whether it was indicated to perform CPR. Nowadays, several studies publish variable survival rates but they are a reality.

Aim To analyze the survival of patients suffering from traumatic CRP treated by an emergency service.

Method Observational study of patients suffered from traumatic cardiac arrest in 2016, 2017 and 2018 assisted by our EMS. Collection data from medical records and databases of hospital follow-ups. Scope: City of Madrid. Data processing and data analysis: quantitative variables are described by central and dispersion measures and qualitative variables by frequent distribution. Excel and SPSS v.20.0.

Results 303 cardiac arrest of traumatic origin were selected, of which CPR is performed in 155 (51.2%). Of these, CPR was abandoned for futility in 43 (27.74%). Rest of patient were 112 (with complete CPR), 49 (43.75%) recovered the spontaneous circulation. After 6 hours, 33 patients were alive (29.46%). After 24 hours 16.96% and after 7 days 7.14%.

Conclusion Survival in traumatic cardiac arrest is possible, 7.14% of patients are alive after 7 days. - Our survival rates are comparable to those of other series published in the scientific journals. – It’s possible that survival will improve in the next years due to the new management of TCA.

Conflict of interest There is no conflict of interest.

Funding There is no funding.

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

Statistics from Altmetric.com

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.