Reanimating Patients After Traumatic Cardiac Arrest : A Practical Approach Informed by Best Evidence - 23/11/17
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Résumé |
Resuscitation of traumatic cardiac arrest is typically considered futile. Recent evidence suggests that traumatic cardiac arrest is survivable. In this article key principles in managing traumatic cardiac arrest are discussed, including the importance of rapidly seeking prognostic information, such as signs of life and point-of-care ultrasonography evidence of cardiac contractility, to inform the decision to proceed with resuscitative efforts. In addition, a rationale for deprioritizing chest compressions, steps to quickly reverse dysfunctional ventilation, techniques for temporary control of hemorrhage, and the importance of blood resuscitation are discussed. The best available evidence and the authors’ collective experience inform this article.
Le texte complet de cet article est disponible en PDF.Keywords : Trauma, Cardiac arrest, Resuscitation, Resuscitative thoracotomy, Emergency thoracotomy
Plan
Disclosure: None of the authors have any financial or professional conflicts of interest to declare. |
Vol 36 - N° 1
P. 19-40 - février 2018 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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