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


  • PMID 29177620