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Fri Jan 12 11:01:30 GMT 2007

     How accessible was the patient?

> I've been asked to give a medicolegal opinion to the coroner in a case
> where  a driver was not given attempts at resuscitation by paramedics
> when found to  be in asystolic cardiac arrest.  He was tighly trapped
> behind the dashboard  and was initially talking, but it is likely that
> cardiac arrest followed  traumatic asphyxia.  Downtime to extrication
> was around 12-15 minutes.  Post  mortem showed no signifciant injuries
> other than two small splenic  lacerations.
>
> I've been looking for good references to support the paramedics'
> decision  (which I agree with) not to intubate nor commence CPR or ACLS.
>   Can anyone  help with some good references which directly address this
> scenario?
>
> Thanks,
>
> John
>
> Dr John L Holmes
> Director Emergency Medicine
> Mater Adult Hospital
> Brisbane, Australia
>
>
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death after traumatic asphyxia