Cgabryszek: Created page with "Traumatic cardiac arrest is almost universally fatal. However, cardiac arrest in the setting of minor trauma may indicate initial cardiac or medical origin of incident requiring ACLS intervention. {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Asses Scene Safety # Assess for indications to withhold CPR. If none, initiate CPR. # Apply AED and shock as advised # Notify responding agency immediately of condition and mechanism of injury (blunt vs...."

2022-04-04T01:01:12Z

Created page with "Traumatic cardiac arrest is almost universally fatal. However, cardiac arrest in the setting of minor trauma may indicate initial cardiac or medical origin of incident requiring ACLS intervention. {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Asses Scene Safety # Assess for indications to withhold CPR. If none, initiate CPR. # Apply AED and shock as advised # Notify responding agency immediately of condition and mechanism of injury (blunt vs...."

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Traumatic cardiac arrest is almost universally fatal. However, cardiac arrest in the setting of minor trauma may indicate initial cardiac or medical origin of incident requiring ACLS intervention.

{| class="wikitable"
|'''EMR - Emergency Medical Responder'''
|}

# Asses Scene Safety
# Assess for indications to withhold CPR. If none, initiate CPR.
# Apply AED and shock as advised
# Notify responding agency immediately of condition and mechanism of injury (blunt vs. penetrating)
# Assess, secure and maintain an adequate airway via the airway management protocol.
# Prepare for immobilization and rapid transport

{| class="wikitable"
|'''EMT - Emergency Medical Technician''' ''Perform/Confirm All Above Interventions''
|}

# Reassess for indications to withhold CPR
# If no signs of life are present, '''consult MEDICAL CONTROL''' for further orders.
# Apply cardiac monitor, if trained to do so. Print rhythm strip for reference.

{| class="wikitable"
|'''AEMT – Advanced Emergency Medicine Tech ''' ''Perform/Confirm All Above Interventions''
|}

# Establish IV access if indicated.
## Large bore and two sites are preferred for Major Trauma. Avoid sites distal to deformities or on injured extremities.
## Fluid bolus 20 mL/kg up to 500 mL. Reassess and repeat x2.

{| class="wikitable"
|'''Intermediate -''' ''Perform/Confirm All Above Interventions''
|}

# Perform an ALS assessment and reassess for indications to withhold CPR
# If tension pneumothorax is suspected, perform needle thoracostomy by inserting a 3-5” 10-12 gauge angiocath in the 2nd or 3rd intercostal space in the mid-clavicular line on the affected side. Remove needle leaving catheter in place.
# '''Contact MEDICAL CONTROL''' to discuss viability

{| class="wikitable"
|'''Paramedic -''' ''Perform/Confirm All Above Interventions''
|}

3-3 TRAUMA-CARDIAC ARREST - Revision history