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CPR in blunt trauma

trauma-list@trauma.org trauma-list@trauma.org
Mon, 16 Dec 2002 16:09:59 EST 

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In a message dated 12/16/2002 3:52:37 PM Eastern Standard Time, 
t.j.coats@qmul.ac.uk writes:

> The only treatment which will 'save a life' following trauma cardiac arrest
> if correction of an immediately reversible cause of cardiac arrest (such as
> tension pneumothorax). Chest compressions tie down 50% of the pre-hospital
> resources (for a 2 person paramedic crew) and actually inhibit the search
> for a reversible cause for the cardiac arrest and the performance of
> critical interventions. I would suggest that chest compressions are not 
> just
> futile - they actively get in the way of potentially life saving treatment.
> 
> The treatment for trauma cardiac arrest has been so confused with the
> treatment for medical cardiac arrest that many pre-hospital and in-hospital
> seem to have have lost sight of the underlying physiology.
> 
> 

Gee--after 3 days of this thread, we come back to right where I started!
I agree
ERF

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<HTML><FONT FACE=arial,helvetica><FONT  SIZE=2 FAMILY="SANSSERIF" FACE="Arial" LANG="0">In a message dated 12/16/2002 3:52:37 PM Eastern Standard Time, t.j.coats@qmul.ac.uk writes:<BR>
<BR>
<BLOCKQUOTE TYPE=CITE style="BORDER-LEFT: #0000ff 2px solid; MARGIN-LEFT: 5px; MARGIN-RIGHT: 0px; PADDING-LEFT: 5px">The only treatment which will 'save a life' following trauma cardiac arrest<BR>
if correction of an immediately reversible cause of cardiac arrest (such as<BR>
tension pneumothorax). Chest compressions tie down 50% of the pre-hospital<BR>
resources (for a 2 person paramedic crew) and actually inhibit the search<BR>
for a reversible cause for the cardiac arrest and the performance of<BR>
critical interventions. I would suggest that chest compressions are not just<BR>
futile - they actively get in the way of potentially life saving treatment.<BR>
<BR>
The treatment for trauma cardiac arrest has been so confused with the<BR>
treatment for medical cardiac arrest that many pre-hospital and in-hospital<BR>
seem to have have lost sight of the underlying physiology.<BR>
<BR>
</BLOCKQUOTE><BR>
<BR>
Gee--after 3 days of this thread, we come back to right where I started!<BR>
I agree<BR>
ERF</FONT></HTML>

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