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Vasopressors in prehospital traumatic arrest

McSwain, Norman E nmcswai at tulane.edu
Wed Dec 1 23:17:38 GMT 2010


Sorry I cannot put my hands on the paper right now

Norman
Norman McSwain MD, FACS
Professor, Tulane School of Medicine
Trauma Director, Spirit of Charity Trauma Center, ILH/MCLNO 
norman.mcswain at tulane.edu
504 988 5111


-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of McSwain, Norman E
Sent: Wednesday, December 01, 2010 5:12 PM
To: Trauma-List [TRAUMA.ORG]
Subject: RE: Vasopressors in prehospital traumatic arrest

Zsolt Stockinger when he was a trauma fellow here looked at
Resuscitative Thoracotomies in the ED. Although I put my hands on the
paper right now, It is my memory that he found that delayed thoracotomy
(>5 minutes) or any type of ACLS drugs were both negative predictors for
survival.

He is in Afghanistan right now. Z if you are lurking what were your
actual data?
 
Norman
Norman McSwain MD, FACS
Professor, Tulane School of Medicine
Trauma Director, Spirit of Charity Trauma Center, ILH/MCLNO 
norman.mcswain at tulane.edu
504 988 5111

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of caesar ursic
Sent: Wednesday, December 01, 2010 4:01 PM
To: Trauma-List [TRAUMA.ORG]
Subject: Vasopressors in prehospital traumatic arrest

What, if any, is the role of epinephrine or atropine (the "typical" ACLS
cardiac arrest drugs) in prehospital traumatic arrest?
Do you approach the 35 year old who has had 15 mins of prehospital CPR
after
falling off a third story balcony (because he was found "pulseless and
bradycardic" at the scene) once he arrives in your ER any differently if
he
has / has not received multiple doses of epi and atropine (assuming that
the
patient is still pulseless but has some sort of ECG rhythm on arrival)?
Just curious.

CM Ursic, MD
Honolulu
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