Resus Tonight - Critical Care and Emergency Nursing
The Resus Tonight team is curious to learn how critical care & emergency nursing can be better. The team translates research into everyday clinical practice, challenge the sacred cows of nursing and occasionally rant.
Resus Tonight - Critical Care and Emergency Nursing
Ep.9 - A Story of Traumatic Cardiac Arrest
•
Resus Tonight
•
Season 1
•
Episode 9
Rob recounts the story of his first traumatic cardiac arrest as a paramedic.
- CPR doesn't make sense in a traumatic arrest where hemorrhagic and obstructive shock are the suspected etiology
- A 'three hole punch' are bilateral finger thoracostomies and a pericardialcentesis is one way to decompress the chest in blunt traumatic cardiac arrest
- The nurse's role is to ensure a shared mental model once the patient arrives so that CPR is started and/or stopped
Evidence
- PMID 29177620
- https://resus.org.au/download/section_11/anzcor-guideline-11-10-1-als-traumatic-arrest-27apr16.pdf&ved=2ahUKEwiczvjHitnkAhXFvJ4KHSvNCfEQFjALegQIARAB&usg=AOvVaw2ztgUJeIvyARaNjrCTrBRv