Is Coding of Penetrating & Blunt Trauma Arrest Patients Warranted?

Editor-in-Chief A.J. Heightman reports live from the 2013 Eagle Creek retreat in Dallas

 

 
 
 

A.J. Heightman, MPA, EMT-P | From the Live Coverage of 2013 Eagles Conference Issue


Corey Slovis, MD, FACP, FACEP, FAAEM, reported results of a recent survey 32 of his Eagle colleagues participated in regarding their coding/resuscitation of traumatic cardiac arrests and told the Eagles at the Eagles conference that he feels a position paper is warranted to reduce or stop the unnecessary resuscitation of selected, severely traumatized patients.

Slovis is a professor of emergency medicine and medicine and chairman of the department of emergency medicine at Vanderbilt University Medical Center in Nashville. Slovis serves as the medical director of the Nashville Fire Department, the NFD Paramedic/EMS Bureau and the Nashville International Airport.

He pointed out that at least one article in a noted emergency medicine journal recommended that crews perform up to 15 minutes of CPR before code pronouncement. His question was: Why are we doing resuscitation on patients who have no blood circulating in their systems? He also noted that research has showed little benefit of epinephrine in medical cases, let alone a traumatic cardiac arrest.

The results of Slovis’ Eagle survey showed that 1/3 of the respondents’ systems still coded blunt and penetrating trauma codes with limited resuscitative success.

Slovis reported that research has shown that, even though a small number of patients in traumatic cardiac survive, 75% of them have significant neurological deficits and reduced quality of life.

Eagles leader Paul Pepe, MD, pointed out that there are circulatory traumatic cardiac arrests and patients who survive the trauma but succumb to cardiac-related arrest.

An article in Resuscitation recommended that field crew confronted with traumatic cardiac arrest should:
• Try to control hemorrhage;
• Splint the pelvis/fractures; and
• Manage airway and oxygenate.

The Eagles group agreed that a position paper should be developed in a careful and deliberate manner, noting that crews have to consider many variables before the termination of CPR, including initial findings and age of the patient.



Related Links:



Connect: Have a thought or feedback about this? Add your comment now
Related Topics: News, Administration and Leadership, EMS Medical Directors, EMS medical direction, Eagles Coalition, Eagle's Retreat

 
Author Thumb

A.J. Heightman, MPA, EMT-P

JEMS Editor-in-Chief A.J. Heightman, MPA, EMT-P, has a background as an EMS director and EMS operations director. He specializes in MCI management.

BROWSE FULL BIO & ARTICLES >

What's Your Take? Comment Now ...

Buyer's Guide Featured Companies

Featured Careers & Jobs in EMS

Get JEMS in Your Inbox

 

Fire EMS Blogs


Blogger Browser

Today's Featured Posts

 

EMS Airway Clinic

Mechanical CPR is Producing Resuscitation Results Beyond Expectations

Discover why clinical studies are finding mechanical CPR just as effective as optimally-performed CPR.
More >

Multimedia Thumb

New Technology Helps Missouri Ambulances

Strategic GPS tracking helps in Springfield.
Watch It >


Multimedia Thumb

Profile: Hospital Wing Air Ambulance

Take a look inside this Memphis service.
Watch It >


Multimedia Thumb

New Monitors for Wyoming EMS

Grant helps Torrington EMS get new equipment.
Watch It >


Multimedia Thumb

London Medics Increasingly Attacked

One medic describes her violent confrontation.
Watch It >


Multimedia Thumb

Violence, Arson in Ferguson

Crowds in Ferguson and elsewhere react to decision.
More >


Multimedia Thumb

California Bus Rollover

One killed and dozens injured.
More >


Multimedia Thumb

Buffalo Residents Dig Out and Prepare for Flooding

Flooding expected as heavy snow melts.
More >


Multimedia Thumb

VividTrac offered by Vivid Medical - EMS Today 2013

VividTrac, affordable high performance video intubation device.
Watch It >


Multimedia Thumb

Field Bridge Xpress ePCR on iPad, Android, Kindle Fire

Sneak peek of customizable run forms & more.
Watch It >


Multimedia Thumb

LMA MAD Nasal™

Needle-free intranasal drug delivery.
Watch It >


Multimedia Thumb

The AmbuBus®, Bus Stretcher Conversion Kit - EMS Today 2013

AmbuBus®, Bus Stretcher all-hazards preparedness & response tool
Watch It >


More Product Videos >