Abstract
IntroductionTraumatic cardiac arrest (TCA) has traditionally been described as futile, with poor outcomes. Reported survival rates vary widely, with higher rates observed from mechanisms leading to a respiratory cause of...
Highlights
During the study period, 21,710 paediatric patients were included in the database with 129 (0.6%) sustaining traumatic cardiac arrest and meeting study inclusion criteria
“Prehospital only” traumatic cardiac arrest (13.0%) had a significantly higher survival than “prehospital and emergency department (ED)” traumatic cardiac arrest (1.8%), (p=0.0430)
This study has demonstrated that resuscitation of children in the rare event of traumatic cardiac arrest is not futile, with overall outcomes comparable to survival rates seen in adults
Summary
Reports from countries where emergency medicine is a relatively young specialty suggest sub-optimal performance of the scale and high variability of triage score designation by end users. In this internationally collaborative study we used standardized triage scenarios to assess the degree of accuracy and variability in ESI score assignment in three different countries. Design and Method: We used 25 patient scenarios from the ESI handbook to evaluate accuracy and inter-rater reliability of triage score assignment in a cohort of triage nurses from EDs in the United States, United Arab Emirates and Brazil. Inter-rater reliability was calculated by Krippendorff’s alpha and was assessed within and across sites. Sub-analyses included impact of scenario type and years of nursing experience
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