1. Chest Compressions in Traumatic Cardiac Arrest
Dr John McKenna
22nd November 2017

2. Background
Early chest compressions are an established standard of care in cardiac arrest
Will chest compressions help in traumatic cardiac arrest?
Will they harm?

3. Practice at RLH

4. Practice at RLH

5. PICO Question Population – Traumatic Cardiac Arrest
Intervention – Chest Compressions
Comparator – No Chest Compressions
Outcome - Mortality

6. Results Pubmed – 176 -> 2 articles
Google – Blog posts & opinion pieces
Case Report: Chest Compressions for a patient in cardiac arrest after penetrating trauma with a knife still in situ
Conclusion: !!!
Review Article: BET 3: The efficacy of chest compressions in paediatric traumatic arrest
Conclusion: 48 papers. No evidence

7. Results
No Evidence

8. Clinical Bottom Line
Compressions are a standard of care but should not impede procedures/fluids
To effectively treat traumatic cardiac arrest we need
Expertise
Equipment
Environment
Elapsed (time)