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Traumatic Cardiac Arrest

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Traumatic Cardiac Arrest

www.erc.edu | info@erc.edu

Published October 2015 by European Resuscitation Council vzw, Emile Vanderveldelaan 35, 2845 Niel, Belgium

Copyright: © European Resuscitation Council vzw Product reference: Poster_SpecCircs_TraumaticCardiacArrest_Algorithm_ENG_20150930

EUROPEAN

RESUSCITATION

COUNCIL

Trauma patient

Cardiac arrest / Periarrest situation? Consider

non-traumatic cause LIKELY

Universal ALS

algorithm

UNLIKELY

Simultaneously address reversible causes

1. Control catastrophic haemorrhage

2. Control airway and maximise oxygenation 3. Bilateral chest decompression

4. Relieve cardiac tamponade

5. Surgery for haemorrhage control or proximal aortic compression?

6. Massive transfusion protocol and fluids

Return of spontaneous circulation?

Pre-hospital:

n Perform only life-saving interventions

n Immediate transport to appropriate hospital In-hospital:

n Damage control resuscitation

n Definitive haemorrhage control

Star

t /

Con

tinue ALS

Hypoxia Tension pneumothorax Tamponade Hypovolaemia Elapsed time < 10 min since arrest? Expertise? Equipment? Environment? Consider immediate resuscitative thoracotomy YES Consider termination of CPR NO

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