death after traumatic asphyxia

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...... How accessible was the patient? ......

Apparently not accessible until extricated

Dr John L Holmes
Director Emergency Medicine
Mater Adult Hospital
Brisbane, Australia





>From: <hbutler at pol.net>
>Reply-To: "Trauma &amp; Critical Care mailing list" 
><trauma-list at trauma.org>
>To: <trauma-list at trauma.org>
>Subject: Re: death after traumatic asphyxia
>Date: Fri, 12 Jan 2007 06:01:30 -0500 (EST)
>
>      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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>
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