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VOLUME 20 , ISSUE 8 ( 2016 ) > List of Articles

BRIEF COMMUNICATION

Epidemiology of traumatic cardiac arrest in patients presenting to emergency department at a level 1 trauma center

Kapil Dev Soni, Sanjeev Bhoi, Upendra Baitha, Tej Sinha

Keywords : Cardiopulmonary resuscitation, emergency department, road traffic crash, traumatic cardiac arrest

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.

DOI: 10.4103/0972-5229.188198

License: CC BY-ND 3.0

Published Online: 00-08-2016

Copyright Statement:  Copyright © 2016; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

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.


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