Citation Information :
Soni K D, Bhoi S, Baitha U, Sinha T. Epidemiology of traumatic cardiac arrest in patients presenting to emergency department at a level 1 trauma center. Indian J Crit Care Med 2016; 20 (8):469-472.
Introduction: There is a paucity of literature on prehospital care and epidemiology of traumatic cardiac arrest (TCA) in India. This study highlights the profile and characteristics of TCA.
Methods: A retrospective cohort study was conducted to study epidemiological profile of TCA patients ≥1 year presenting to a level 1 trauma center of India.
Results: One thousand sixty-one patients were recruited in the study. The median age (interquartile range) was 32 (23-45) years (male:female ratio of 5.9:1). Asystole (253), pulseless electrical activity (11), ventricular fibrillation (six), and ventricular tachycardia (five) were initial arrest rhythm. Road traffic crash (RTC) (57.16%), fall from height (18.52%), and assault (10.51%) were modes of injury. Prehospital care was provided by police (36.59%), ambulance (10.54%), relatives (45.40%), and bystanders (7.47% cases). Return of spontaneous circulation was seen in 69 patients, of which only three survived to hospital discharge.
Conclusion: RTC in young males was a major cause of TCA. Asystole was the most common arrest rhythm. Police personnel were major prehospital service provider. Prehospital care needs improvement including the development of robust TCA registry.
World Health Organization. Global Status Report on Road Safety; 2015. Available from: http://www.who.int/violence_injury_prevention/road_safety_status/2015/en/. [Last accessed on 2015 Oct 25].
National Crimes Records Bureau. Accidental Deaths and Suicides in India 2014. New Delhi: Ministry of Home Affairs, Government of India; 2014. Available from: http://www.ncrb.gov.in. [Last accessed on 2015 Oct 25].
Das AK, Gupta SB, Joshi SR, Aggarwal P, Murmu LR, Bhoi S, et al. White paper on academic emergency medicine in India: INDO-US Joint Working Group (JWG). J Assoc Physicians India 2008;56:789-98.
Husain S, Eisenberg M. Police AED programs: A systematic review and meta-analysis. Resuscitation 2013;84:1184-91.
Bhoi S, Thakur N, Chauhan S, Kumar R, Aggarwal D, Gulati V, et al. (A24) Does community emergency care initiative improves the knowledge, skill, and attitude of healthcare workers and laypersons in basic emergency care in India? Prehosp Disaster Med 2011;26:s7-8.
Allison KP, Kilner T, Porter KM, Thurgood A. Pre-hospital care - The evolution of a course for undergraduates. Resuscitation 2002;52:187-91.
Battistella FD, Nugent W, Owings JT, Anderson JT. Field triage of the pulseless trauma patient. Arch Surg 1999;134:742-5.
Deasy C, Bray J, Smith K, Hall D, Morrison C, Bernard SA, et al. Paediatric traumatic out-of-hospital cardiac arrests in Melbourne, Australia. Resuscitation 2012;83:471-5.
Leis CC, Hernández CC, Blanco MJ, Paterna PC, Hernández Rde E, Torres EC. Traumatic cardiac arrest: Should advanced life support be initiated? J Trauma Acute Care Surg 2013;74:634-8.
Herlitz J, Engdahl J, Svensson L, Angquist KA, Young M, Holmberg S. Factors associated with an increased chance of survival among patients suffering from an out-of-hospital cardiac arrest in a national perspective in Sweden. Am Heart J 2005;149:61-6.