Pre-hospital resuscitation of the traumatic arrest patient is controversial, to say the least. Some evidence has shown our efforts to be futile. But are the studies skewed by inappropriate management and our resistance to act? When do we intervene, and when do we not? And how can we help improve these poor mortality rates?
Join us as we discuss this important topic with Dr. Amanda Humphries, Flight Physician and EMS Fellow. We touch on determining medical versus traumatic arrest, prioritization of interventions, and special patient populations.
Guest
Dr. Amanda Humphries-Ventura is an EMS Fellow at the University of New Mexico. She completed Emergency Medical residency at the University of Cincinnati where she flew with University of Cincinnati Air Care for 4 years. She now flies with Lifeguard Air Emergency Services of the University of New Mexico. She is passionate about delivering hospital quality critical care in the field, prehospital research, and first responder stress and wellness. She is a native Cincinnatian currently enjoying the copious sunshine in the American Southwest.
Evans CC, Petersen A, Meier EN, et al. “Prehospital traumatic cardiac arrest: management and outcomes from the Resuscitation Outcomes Consortium Epistry-Trauma and PROPHET registries.” J Trauma Acute Care Surg. 2016;81:285-293.
Sperry JL, Guyette FX, Brown JB, et al. “Prehospital Plasma during Air Medical Transport in Trauma Patients at Risk for Hemorrhagic Shock.” NEJM. 2018;379:315-326.
Lockey DJ, Lyon RM, Davies GE. “Development of a simple algorithm to guide the effective management of traumatic cardiac arrest.” Resuscitation. 2013;84:738-742.
Watts S, Smith JE, Gwyther R, Kirkman E. “Closed chest compressions reduce survival in an animal model of haemorrhage-induced traumatic cardiac arrest.” Resuscitation. 2019;140:37-42.
Yamamoto R, Suzuki M, Hayashida K, et al. “Epinephrine during resuscitation of traumatic cardiac arrest and increased mortality: a post hoc analysis of prospective observational study.” Scand J Trauma Resusc Emerg Med. 2019;16:74.
Perkins GD, Ji C, Deakin CD, et al. “A Randomized Trial of Epinephrine in Out-of-Hospital Cardiac Arrest.” NEJM. 2018;379:711-721.
Laan DV, Vu TD, Thiels CA, et al. “Chest Wall Thickness and Decompression Failure: A Systematic Review and Meta-analysis Comparing Anatomic Locations in Needle Thoracostomy.” Injury. 2016;4:797-804.