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 thoracotomies and a pericardial centesis 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
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