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Traumatic Cardiac Arrest www.erc.edu | [email protected] Published October 2015 by European Resuscitation Council vzw, Emile Vanderveldelaan 35, 2845 Niel, Belgium Copyright: © European Resuscitation Council vzw Product reference: Poster_SpecCircs_TraumaticCardiacArrest_Algorithm_ENG_20150930 EUROPEAN RESUSCITATION COUNCIL Trauma patient Cardiac arrest / Periarrest situation? Consider non-traumatic cause Universal ALS algorithm LIKELY UNLIKELY Simultaneously address reversible causes 1. Control catastrophic haemorrhage 2. Control airway and maximise oxygenation 3. Bilateral chest decompression 4. Relieve cardiac tamponade 5. Surgery for haemorrhage control or proximal aortic compression? 6. Massive transfusion protocol and ﬂuids Return of spontaneous circulation? Pre-hospital: n Perform only life-saving interventions n Immediate transport to appropriate hospital In-hospital: n Damage control resuscitation n Deﬁnitive haemorrhage control Start / Continue ALS Hypoxia Tension pneumothorax Tamponade Hypovolaemia Elapsed time < 10 min since arrest? Expertise? Equipment? Environment? Consider immediate resuscitative thoracotomy YES Consider termination of CPR NO

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Page 1: EUROPEAN RESUSCITATION Traumatic Cardiac Arrest · Title: Poster_SpecCircs_Traumatic Cardiac Arrest Algorithm_ENG_V20150924.indd Created Date: 10/5/2015 10:01:45 AM

Traumatic Cardiac Arrest

www.erc.edu | [email protected]

Published October 2015 by European Resuscitation Council vzw, Emile Vanderveldelaan 35, 2845 Niel, BelgiumCopyright: © European Resuscitation Council vzw Product reference: Poster_SpecCircs_TraumaticCardiacArrest_Algorithm_ENG_20150930

EUROPEAN RESUSCITATION COUNCIL

Trauma patient

Cardiac arrest / Periarrest situation?

Consider non-traumatic cause

Universal ALS algorithmLIKELY

UNLIKELY

Simultaneously address reversible causes

1. Control catastrophic haemorrhage2. Control airway and maximise oxygenation3. Bilateral chest decompression

4. Relieve cardiac tamponade5. Surgery for haemorrhage control or proximal aortic compression?

6. Massive transfusion protocol and fluids

Return of spontaneous circulation?

Pre-hospital:n Perform only life-saving interventionsn Immediate transport to appropriate hospital

In-hospital:n Damage control resuscitationn Definitive haemorrhage control

Start / Continue A

LS

HypoxiaTension pneumothoraxTamponadeHypovolaemia

Elapsed time < 10 min since arrest?

Expertise?

Equipment?

Environment?

Consider immediate resuscitative thoracotomy

YES

Consider termination of CPR NO

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