Titre
Impact of Specific Emergency Measures on Survival in Out-of-Hospital Traumatic Cardiac Arrest.
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Savary, D.
Auteure/Auteur
Morin, F.
Auteure/Auteur
Douillet, D.
Auteure/Auteur
Drouet, A.
Auteure/Auteur
Ageron, F.X.
Auteure/Auteur
Charvet, R.
Auteure/Auteur
Carneiro, B.
Auteure/Auteur
Metton, P.
Auteure/Auteur
Fadel, M.
Auteure/Auteur
Descatha, A.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
1945-1938
Statut éditorial
Publié
Date de publication
2022-02
Volume
37
Numéro
1
Première page
51
Dernière page/numéro d’article
56
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Publication Status: ppublish
Résumé
The management of out-of-hospital traumatic cardiac arrest (TCA) for professional rescuers entails Advanced Life Support (ALS) with specific actions to treat the potential reversible causes of the arrest: hypovolemia, hypoxemia, tension pneumothorax (TPx), and tamponade. The aim of this study was to assess the impact of specific rescue measures on short-term outcomes in the context of resuscitating patients with a TCA.
This retrospective study concerns all TCA patients treated in two emergency medical units, which are part of the Northern French Alps Emergency Network (RENAU), from January 2004 through December 2017. Utstein variables and specific rescue measures in TCA were compiled: fluid expansion, pelvic stabilization, tourniquet application, bilateral thoracostomy, and thoracotomy procedures. The primary endpoint was survival rate at Day 30 with good neurological status (Cerebral Performance Category [CPC] score CPC 1 and CPC 2).
In total, 287 resuscitation attempts in TCA were included and 279 specific interventions were identified: 262 fluid expansions, 41 pelvic stabilizations, five tourniquets, and 175 bilateral thoracostomies (including 44 with TPx).
Among the standard resuscitation measures to treat the reversible causes of cardiac arrest, this study found that bilateral thoracostomy and tourniquet application on a limb hemorrhage improve survival in TCA. A larger sample for pelvic stabilization is needed.
This retrospective study concerns all TCA patients treated in two emergency medical units, which are part of the Northern French Alps Emergency Network (RENAU), from January 2004 through December 2017. Utstein variables and specific rescue measures in TCA were compiled: fluid expansion, pelvic stabilization, tourniquet application, bilateral thoracostomy, and thoracotomy procedures. The primary endpoint was survival rate at Day 30 with good neurological status (Cerebral Performance Category [CPC] score CPC 1 and CPC 2).
In total, 287 resuscitation attempts in TCA were included and 279 specific interventions were identified: 262 fluid expansions, 41 pelvic stabilizations, five tourniquets, and 175 bilateral thoracostomies (including 44 with TPx).
Among the standard resuscitation measures to treat the reversible causes of cardiac arrest, this study found that bilateral thoracostomy and tourniquet application on a limb hemorrhage improve survival in TCA. A larger sample for pelvic stabilization is needed.
PID Serval
serval:BIB_FE75DE5B1A29
PMID
Date de création
2024-05-23T11:49:14.822Z
Date de création dans IRIS
2025-05-21T06:50:18Z
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impact-of-specific-emergency-measures-on-survival-in-out-of-hospital-traumatic-cardiac-arrest.pdf
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