Another question about traumatic cardiac arrest

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Hello everybody and happy holidays (it's the holiday time where I live)


I have a question to you all- to your opinion and according to your 
experience Would a trauma patient, that has no palpable pulse and BP (on 
scene or in the ED, I asume it makes a whole lot of diffrent), whose ECG 
shows some rythem but not a sinus rythem, be a candidate for ressusctiation 
or should he be treated as if he is asystolic? (meaning no treatment).
Ever came across such a case? And if so, did you manage it initially 
according to ACLS protocols or with immediate thoracotomy?

Looking forward to reading your answers

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