January - 2012
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The consequences of noncompliance with guidelines for withholding or terminating resuscitation in traumatic cardiac arrest patients.Mollberg NM, Wise SR, Berman K, Chowdhry S, Holevar M, Sullivan R, Vafa A. Journal of Trauma, 2011, Oct;71(4):997-1002. |
January |
Previous Comments
| I thought that the odds of survival if you have a cardiac arrest due to blunt trauma pre-hospital were essentially zero (which this study seems to prove). I'm amazed that so many patients were actually resuscitated despite this. I would have thought unless they arrest in front of you from penetrating trauma and have an immediate thoracotomy, they're stuffed. | |
| Darren Cable-29 Jan, 2012 04:18:56 PM | |
| I guess the problem is that if you don't make it to hospital, you won't make it out of hospital. Is this fixation with "meaningful endpoints" going over the top? Sometimes practice increases in increments, and it won't be implementation of just one intervention that works, but a series of them (or a bundle, to use the buzz word). | |
| James O'Connor-29 Jan, 2012 04:29:57 PM | |
| Not if the consequence is that you end up with a whole lot of terrible neurological outcomes that cost millions of dollars to care for without any improvement in outcomes. | |
| Jean Bridie-29 Jan, 2012 04:35:32 PM | |
Comment
Existing guidelines for termination of resuscitation efforts have been established (National Association of Emergency Medical Services (EMS) Physicians and the American College of Surgeons Committee on Trauma).These guidelines use criteria to withhold or terminate care :
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