Updates in Traumatic Cardiac Arrest
Autor: | William A. Teeter, Daniel Haase |
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Rok vydání: | 2020 |
Předmět: |
Resuscitation
medicine.medical_specialty medicine.medical_treatment Traumatic cardiac arrest Extracorporeal Membrane Oxygenation Abdomen medicine Extracorporeal membrane oxygenation Emergency medical services Humans Cardiopulmonary resuscitation Aorta Resuscitation Orders Ultrasonography business.industry Heart Emergency department Balloon Occlusion medicine.disease Heart Arrest Thoracotomy Practice Guidelines as Topic Emergency medicine Emergency Medicine Wounds and Injuries Tamponade Emergency Service Hospital business Pediatric trauma |
Zdroj: | Emergency Medicine Clinics of North America. 38:891-901 |
ISSN: | 0733-8627 |
DOI: | 10.1016/j.emc.2020.06.009 |
Popis: | Evaluating and treating traumatic cardiac arrest remains a challenge to the emergency medicine provider. Guidelines have established criteria for patients who can benefit from treatment and resuscitation versus those who will likely not survive. Patient factors that predict survival are penetrating injury, signs of life with emergency medical services or on arrival to the Emergency Department, short length of prehospital cardiopulmonary resuscitation, cardiac motion on ultrasound, pediatric patients, and those with reversible causes including pericardial tamponade and tension pneumothorax. Newer technologies such as resuscitative endovascular balloon occlusion of the aorta, selective aortic arch perfusion, and extracorporeal membrane oxygenation may improve outcomes, but remain primarily investigational. |
Databáze: | OpenAIRE |
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