37 patients with blunt traumatic cardiac arrest underwent attempted resuscitation by a HEMS crew over a four year period. Chest decompression was performed in 18 cases (17 thoracostomy, one needle decompression). The procedure revealed evidence of chest injury in 10 cases (pneumothorax, haemothorax, massive air leak) and resulted in return of circulation and survival to hospital in four cases. All four cases died of associated major head injury, although one became a heart beating organ donor. Only half of the cases found to have pneumothorax demonstrated clinical signs of one prior to chest decompression.
The authors state: ‘Relying on clinical signs of the thorax alone will not identify all patients with these injuries, and our data support extending the practice into all patients with a suitable mechanism of injury together with external evidence of chest injury.’
Chest decompression during the resuscitation of patients in prehospital traumatic cardiac arrest
Emerg Med J. 2009 Oct;26(10):738-40
- RT @resuscitology: Master of quality improvement leadership @karelhabig shares systems of governance from high performance organisations li… 1 day ago
- RT @HawkmoonHEMS: Great presentation by @ResusPadawan at the @SydneyHEMS Education Day 13th October 2021. Lessons from the battlefield. Gre… 2 weeks ago
- RT @KangarooBeach: Kudos to @SydneyHEMS for making their Airway registry lessons freely available as #FOAMed Whilst many services conduct… 2 weeks ago
- We are proud to have 16 candidates sitting the inaugural Australasian Diploma of Prehospital and Retrieval Medicine… twitter.com/i/web/status/1… 2 weeks ago
- RT @TotalResus: Transport physiology. Critical Care in the Air. HT @SydneyHEMS youtu.be/S28K6rG2vJo #phem #pharm #foamcc https://t.co/d5… 3 weeks ago
- An error has occurred; the feed is probably down. Try again later.