BEST CASE EVER 20: CPR in Trauma?!?! Closed Chest Compressions in Traumatic Arrest?!?! Is CPR ever successful in the trauma patient? Dr. Dave MacKinnon, Trauma Team Leader at St. Michael’s Hospital in Toronto, gives you his Best Case Ever in the cardiac arrest trauma patient.
The literature is full of case series of zero survival in trauma patients requiring CPR. For example, this report in CJEM. Normally, we should not be thinking of CPR in traumatic arrests, but instead, ED thoracotomy as Scott Weingart of emcrit describes in his podast 36 – Traumatic Arrest. But just wait until you here Dave’s Best Case Ever……….
In the related Episode, ‘Update in Trauma Literature’, Dr. Dave MacKinnon & Dr. Mike Brzozowski return for the newest in the Trauma literature since the epic Episode 10: Trauma Pearls & Pitfalls. In this episode, we discuss – predicting the sick trauma patient, the value of lactate, end-tidal CO2 and base deficit in the polytrauma patient, videolaryngoscopy vs traditional laryngoscopy, Damage Control Resuscitation, Permissive Hypotension, Occult Hemothorax, Blunt Thoracic Aorta and Cardiac Injury, Sternal Fractures, Tranexamic Acid, Throboelastography, Communication in the trauma bay and much more……
Dr. Anton Helman is an Emergency Physician at North York General in Toronto. He is an Assistant Professor at the University of Toronto, Division of Emergency Medicine and the Education Innovation Lead at the Schwartz-Reisman Emergency Medicine Instititute. He is the founder, editor-in-chief and host of Emergency Medicine Cases.