Paramedics’ decisions to withhold resuscitation in traumatic cardiac arrest: accuracy of paramedic assessments compared with autopsy findings

The majority of decisions to withhold CPR in prehospital TCA cases are based on signs that are clearly incompatible with life, identified by paramedics with high specificity. In the absence of such findings, paramedics consider factors like prolonged time intervals, overall injury severity, and seek guidance through remote physician supervision before deciding whether to withhold resuscitation efforts.