CPR in TCA: A TLA PSA

Should we withhold chest compressions in traumatic cardiac arrest. A (very) reasonable poin of view.

‘Don’t compress the chest in traumatic arrest…’ That’s the narrative. But Alan Garner has questions.

Do you do chest compressions in traumatic cardiac arrest (TCA)?

Don’t be dopey, right? Compressions are not important compared with seeking and correcting reversible causes. Indeed you can just omit the compressions altogether and transport the patient without them as they are detrimental in hypovolaemia and obstructive causes of arrest, right?

I would like to work through the logic of this. I think the nidus of an idea got dropped into a super saturated FOAMEd solution and Milton the Monster* precipitated out. The end result might be an approach that got extrapolated way beyond the biologically plausible.

The Starting Point

First let’s try to step slowly through the logic…

In hypovolaemia or obstructive causes of shock that are likely in the trauma patient (tension and tamponade) and where the patient is in PEA (preferably with good…

View original post 1.100 altre parole

Commenti Lascia un commento
Categorie Commenti dell'autore

Rispondi Cancella risposta

Scrivi qui il tuo commento...

Inserisci i tuoi dati qui sotto o clicca su un'icona per effettuare l'accesso:

E-mail (obbligatorio) (L'indirizzo non verrà pubblicato)

Nome (obbligatorio)

Sito web

Stai commentando usando il tuo account WordPress.com. ( Chiudi sessione / Modifica )

Stai commentando usando il tuo account Twitter. ( Chiudi sessione / Modifica )

Stai commentando usando il tuo account Facebook. ( Chiudi sessione / Modifica )

Connessione a %s...

Questo sito utilizza Akismet per ridurre lo spam. Scopri come vengono elaborati i dati derivati dai commenti.

CriticalCareNow

A Site for Intensivists and Resuscitationists

Emergenza-Urgenza 2.0

Supporting ALL Ohio EM Residencies in the #FOAMed World

Let's try to make it simple

thinking critical care

a blog for thinking docs: blending good evidence, physiology, common sense, and applying it at the bedside!

urgentcareultrasound

More definitive diagnosis, better patient care

MariaLuisaRuberto.com

Critical Care Northampton

Reviewing Critical Care, Journals and FOAMed

Prehospital critical care for out-of-hospital cardiac arrest

Education and entertainment for the ultrasound enthusiast

A UK PREHOSPITAL PODCAST

Emergency medicine - When minutes matter...

Songs or Stories

Sharing the Science and Art of Paediatric Anaesthesia

"Live as if you will die tomorrow; Learn as if you will live forever"

Navigating resuscitation

Life in the Fast Lane • LITFL

Emergency medicine and critical care education blog

emDOCs.net - Emergency Medicine Education

Our goal is to inform the global EM community with timely and high yield content about what providers like YOU are seeing and doing everyday in your local ED.

A Hive Mind for Prehospital and Retrieval Med

Dave on Airways

Thoughts and opinions on airways and resuscitation science

A Free Open Access Medical Education Emergency Medicine Core Content Mash Up

Rural Generalist Doctors Education

Emergency Medicine #FOAMed

"CardioOnline"Basic and Advanced Cardiovascular medicine" Cariology" concepts and Review -Dr.Nabil Paktin,MD.FACC.دکتـور نبــــیل "پاکطــــین

این سایت را به آن دکتوران و محصلین طب که شب و روز برای رفاه نوع انسان فداکاری می کنند ، جوانی و لذایذ زندگی را بدون چشمداشت به امتیاز و نفرین و آفرین قربان خدمت به بشر می کنند و بار سنگین خدمت و اصلاح را بدوش می کشند ، اهداء می کنم This site is dedicated to all Doctors and students that aver the great responsibility of People’s well-being upon their shoulders and carry on their onerous task with utmost dedication and Devotionاولین سایت و ژورنال انتــرنتی علـــمی ،تخـصصی ، پــژوهشــی و آمــوزشــی طبـــی در افغــانســـتان

DOWNSTAIRS CARE OUT THERE BLOG

PHARM, #FOAMed

Free Open Access Medical Education

Learning everything I can from everywhere I can. This is my little blog to keep track of new things medical, paramedical and pre-hospital from a student's perspective.

Prehospital and Retrieval Medicine - THE PHARM dedicated to the memory of Dr John Hinds

In memory of Dr John Hinds

Prehospital Emergency Medicine Blog

All you want to know about prehospital emergency medicine

Italy Customized Tour Operator in Florence

Creating seamless Travel experiences!

The FOAM Search Engine

where everything is up for debate . . .

Pediatric EM Morsels

Pediatric Emergency Medicine Education

KidsCareEverywhere

Free Open Access Medical Education for Paramedics

Free Open Access Meducation 4 General Practice

Rural Doctors Net

useful resources for rural clinicians

Unofficial site for prehospital care providers of the Auckland HEMS service

L'ECOGRAFIA: ENTROPIA DELL'IMMAGINE

Prehospital Emergency Medicine

Just another WordPress.com site

Your Boot Camp Guide to Emergency Medicine

WE HAVE MOVED - VISIT WWW.KIDOCS.ORG FOR NEW CONTENT

Prehospital Emergency Medicine

Academic Medicine Pearls in Emergency Medicine from THE Ohio State University Residency Program

Prehospital Emergency Medicine

Academic Life in Emergency Medicine

Prehospital Emergency Medicine

Comments on: Homepage

Prehospital Emergency Medicine

Greater Sydney Area HEMS

The Pre-hospital & Retrieval Medicine Team of NSW Ambulance

%d blogger hanno fatto clic su Mi Piace per questo: