Adult Traumatic Arrest

Question 1

Adult Traumatic Arrest - Initial rhythm asystole

Answer 1

Withhold resuscitation

Question 2

Adult Traumatic Arrest - Blunt mechanism of injury?

Answer 2

Suspected Pneumo bilateral needle decompression

Suspected pelvic injury - Pelvic Binder

Question 3

Adult Traumatic Arrest - Penetrating chest injury with/without PEA

Answer 3

Suspect tension pneumothorax and consider bilateral needle decompression

Question 4

Adult Traumatic Arrest - Post decompression with no ROSC and Transport > 15 min

Answer 4

Mandatory OLMC if PEA, otherwise consider withholding resuscitation

Question 5

Adult Traumatic Arrest - > 15 min transport

Answer 5

Mandatory OLMC if PEA, otherwise consider withholding resuscitation

Question 6

Adult Traumatic Arrest - < 15 min transport

Answer 6

Treat as per appropriate arrest protocol

20 ml/kg bolus prn pressure infused

Question 7

Adult Traumatic Arrest - Patient presenting with PEA

Answer 7

May have organized electrical activity with profound hypotension

Question 8

Adult Traumatic Arrest - SMR and C-collar placement are contraindication in?

Answer 8

All isolated penetrating trauma

Question 9

Adult Traumatic Arrest - SMR must not delay what?

Answer 9

Transport, SMR can be completed enroute

Question 10

Adult Traumatic Arrest - bilateral needle decompression is appropriate when?

Answer 10

Any trauma patient in PEA

Question 11

Adult Traumatic Arrest - In pregnant patients greater than 20 weeks gestation

Answer 11

Tilt or rotate backboard 20-30 degrees to the patient’s left or use manual left uterine displacement
Fluid resuscitation requirements are significantly greater

Question 12

Adult Traumatic Arrest - Post decompression with no ROSC and Transport < 15 min

Answer 12

Treat as per appropriate arrest protocol, 20 ml/kg bolus prn