Abstract
AimsPaediatric traumatic cardiac arrest (TCA) is associated with low survival and poor outcomes. The mechanisms that underlie TCA are different from medical cardiac arrest; the approach to treatment of TCA...
Highlights
Trauma is the leading cause of death in children over one year of age.[1]
Consensus was reached on 14 statements regarding the diagnosis and management of paediatric traumatic cardiac arrest (TCA); oxygenation and ventilatory support, along with rapid volume replacement with warmed blood, improve survival
This study has given a consensus-based framework to guide protocol development in the management of paediatric TCA, though further work is required in other key areas including its acceptability to clinicians
Summary
Trauma is the leading cause of death in children over one year of age.[1] Paediatric traumatic cardiac arrest (TCA) is associated with poor survival and poor neurological outcome. The underlying pathologies leading to cardiorespiratory arrest secondary to energy transfer or body cavity penetration in trauma are different from non-traumatic causes These differences are being increasingly recognised in adult emergency medicine with many services adopting guidelines specific to the management of TCA.[2,3,4,5] Survival to discharge from hospital following adult TCA has improved in the last decade as interventions have targeted reversible causes, such as the early decompression of tension pneumothorax, correction of hypovolaemia from blood loss, and proactive management of acute traumatic coagulopathy.[6] Much of the data suggesting improved survival has come from military experience;[7] this has been replicated in civilian populations.[8, 9]
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