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Discussion in 'Firefighter/EMS Talk' started by WIMPY, Mar 19, 2006.
Anyone ever work a trauma arrest & have a good outcome?
Yep! Hit in the sternum with a softball and one shock at 200j done it! (btw, she was VERY well endowed, not that I was looking )
Was there standing by and witnessed it and defibed her within one minute of incident. 3 in round bruise on her chest;P
Yep! But never without paramedics (which I'm not). Every success I've seen have been victims under 60.
I hold the proud title of "angel of death". In 4 years of EMS service every single code i have worked has died.
We don't do that here.....
Nope, found dead, stayed that way! ;f
Not that I recall. They seem to maintain the status found.
Had an ATV rollover arrest enroute to ED. Resuscitated in flight, died again 3 days later.
0.1 % of trauma arrests survive.
Thanks for the feed-back. I have never gotten one back either in the field( usually started by helpful by standers) or here at the er where I work.
Never had a trauma arrest live, had 3 medicals that lived tho. Too many DOA's to count.
we have a protocol in place that states any penetrating traumatic arrest found in the field without signs of life is DOA and should be pronounced.
Arrest that occurs after penetrating trauma and signs of life in the field should be worked and transported.
Blunt traumatic arrest without signs of life in the field is DOA and should be pronounced and may also be called if pt arrests after showing initial signs of life in the field.
"blunt" trauma arrests. the numbers change for penetrating with close proximity to a trauma center.
Great topic and question! The stats that are provided by American Journal of Trauma indicate that less than 1% of "trauma" arrest victims are recuscitated. The ones that are resuscitated have poor long term outcomes, but there are always exceptions.
Think about it. Most traumatic deaths that occur before EMS arrive are due to catastrophic brain injury, disruption or tear of a large vessel, or mechanical airway obstruction (suffocation, crush, or bilateral pneumothoresis). Other external or internal blood loss takes a little more time to become irreversible.
If you ain't got enough brain remaining, no circulating volume, or no way to oxygenate the vital organs...you are goin to die.
However, it is important to remember that the young trauma arrest victim you may encounter is a potential organ donor. My own opinion is that reasonable resuscitation efforts should be attempted on on viable victims, as their kidney, liver, lung, eyes, or heart could save another life.
I've never resuscitated a trauma code. I'd like to think that I *prevented* a few over the years, though, with rapid transport and aggressive treatment. Once they code on you it's pretty much over.
I've never seen a trauma code survive to discharge from a hospital. Preventing the code to begin with seems to be the key for their survival.