List Archives

Sun, 15 Dec 2002 17:27:52 -0500

I think the prerequisite here is arrest, therefore no palpable pulse or
blood pressure. If the patient has a medical arrest due to SVT (rapid
rhythm, but no pulse) CPR is indicated, an AED would be expected to shock
the patient, cardioversion/defibrillation would be indicated. The medical
condition is separate from the trauma.

Tim Noonan.

On Tue, 17 Dec 2002 09:16:37 +1100, "Sheree Joyce"
<shereej@gmp.usyd.edu.au> said:
> meredith mcbride wrote:
>
> > What about folks with medical reasons for cardiopulmonary arrest who
> > subsequently crack their cars up? I think we've probably all cared
> > for trauma patients whom it became evident had suffered an MI or
> > stroke as the cause, rather than effect, of the accident. I've got a
> > family member with Wolff-Parkinson-White. If he goes into SVT,
> > becomes hypotensive, drives off the road, smashes his face and cracks
> > a few ribs, I hope that some first responder will provide CPR long
> > enough to get him into the hospital for cardioversion. I'm certain
> > success in either of these situations would fall out of a statistical
> > analysis, due to the very low numbers.
> >
>
> Meredith, if your family member does experience this unfortunate
> incident, they will have a very treatable rhythm with a palpable pulse
> & blood pressure. We can assume that they will not have been dragged
> underneath a car for quite a distance & as a result have no vital signs
> & fixed dilated pupils. Good point you're making, but not really
> relevant to the case presented. Sheree

List Archives

For your convenience, find the Trauma List Archive Below

CPR in blunt trauma