Out-of-hospital open-chest cardiopulmonary resuscitation after cardiac arrest in cases of blunt chest or abdominal trauma: A consecutive series of 40 cases

Wen-Hai Liu,Wei Liu,Jia-Wei Liu,Chun-Yi Chiang,Ting Liu,Hai-Bing Zhang,Lian-Fu Wang,Xu-Dong Wang

doi:10.15761/crt.1000171

Abstract

Out-of-hospital open-chest cardiopulmonary resuscitation after cardiac arrest in cases of blunt chest or abdominal trauma: A consecutive series of 40 cases

Highlights

It is proven that early performance of open-chest CPR (OCCPR) can increase the survival rate of those patients with chest and/or abdominal trauma undergoing cardiac arrest
When performing Closed Chest Cardiopulmonary Resuscitation, CCCPR on Patients with blunt-chest and abdominal trauma resulting in cardiac arrest, their survival rate is less than 1% [1]
Across 10 year study, we suggest that the implementation of OCCPR as early as possible on individuals with cardiac arrest caused by blunt trauma may be the key factor in increasing the survival rate of these individuals

Summary

Introduction

When performing Closed Chest Cardiopulmonary Resuscitation, CCCPR on Patients with blunt-chest and abdominal trauma resulting in cardiac arrest, their survival rate is less than 1% [1]. Individuals with blunt chest and abdominal trauma may have injured chest abdominal pump, affecting the hemodynamics when CCCPR is applied, not enough blood is circulated to the brain and myocardium [2,3] This condition may be further aggravated causing complication such as hematopneumothorax, rupture of the heart or pericardial tamponade, resulting in long-term low recovery rate. Open-chest cardiopulmonary resuscitation (OCCCPR) may be the only method of increasing the survival rate as well as the cardiorespiratory circulation of blunt chest or abdominal trauma patients undergoing cardiac arrest, it has always been a difficult challenge for medical staff to carry out on-sight OCCPR because it requires high level of expertise. The aim of this study was to determine the effectiveness of establishing on-sight or early OCCPR and the probability of increasing the success rate of resuscitation in blunt chest or abdominal trauma patients undergoing cardiac arrest

Objectives

Methods

Results

Conclusion