Category Archives: Trauma Cardiac Arrest

Question: If an 18 year old male hockey player was tackled and hit his face off the ice, has otorrhagea and and is VSA. First analysis shows asystole. Should he be treated under the trauma cardiac arrest directive or medical?

Question: My question falls under the category of Trauma Cardiac Arrests. Are we expected to check the pulse of a PEA patient, secondary to trauma, every two minutes? I believe we do as this follows heart and stroke and also verifies a PEA is in fact pulseless.

The BLS states to reassess pulse every 2 minutes under medical section 2-18, but trauma section 3-6, referring to trauma VSA, states to follow ALS patient care standards and protocols.

Our protocol does not state or outline the desired pulse assessment treatment during transport after the one analysis is performed. Thank you in advance.

Question: My question is regarding Traumatic TOR caused by penetrating injury. I have been informed that penetrating trauma TOR is only allowed if it involves the head or torso. Is this correct or is it anywhere on the body? Thanks.

Question: There is some debate in regards to chest compression's, monitor applied, analyze and then airway. What happens when the compression count is at thirty and the pads are still not applied? Does the paramedic at the chest check the oral cavity, get the airway, insert it, open the BVM bag, prepare the BVM and attempt 2 breaths or continue compression's until the other medic applies the pads and the analysis is complete?

Question: VSA trauma patients - chest compressions and defib is the priority for this patient. C-spine maintained manually. In this scenario, is it mandatory to apply a collar prior to a shock being delivered as the manual c-spine must be removed to deliver the shock?

CPAP- indication b/p 100 or above systolic. Contraindication is hypotension. If CPAP is applied while normotensive, can we leave the device on until they become hypotensive or we must remove when b/p drops below 100? Thanks.

Question: I was wondering if in the instance of a patient cutting their wrists, becoming hypovolemic and then going VSA if this should be treated as a medical arrest or a traumatic. Thank you in advance.

Question: In recerts we were informed that if we are extricating a patient who suffered blunt trauma and they go VSA in front of us. We are to run it as a medical arrest since it was witnessed? Is this true?

I just read a previous MAC post and it stated: ANSWER: Great question! Assuming this is a first arrest, the correct sequence would be to pull over, confirm the patient is VSA, begin CPR, and follow the Trauma Cardiac Arrest Medical Directive which includes one rhythm analysis.

Could you please clarify this?

Question: In regards to a traumatic VSA. The patient goes VSA during transport to the closest ER. The paramedic believes the arrest is of trauma origin. Do we pull over and perform one analysis and then resume transport? Or do we just do CPR until we arrive at the ER?

Question: I need some further clarification on the question "Seeking Clarification" from March 1 2012 regarding hypothermia. It has been my understanding that we DO NOT give medications to hypothermic VSA patients. I have clarified this before, unless this rule has changed since, so could you please readdress this part of the question for me?

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