What question did this study set out to answer?

To evaluate survival rates among trauma patients receiving prehospital cardiopulmonary resuscitation and determine prehospital indicators of non-survivable injury.

January 29, 2004Journal of the American College of Surgeons

Additional evidence in support of withholding or terminating cardiopulmonary resuscitation for trauma patients in the field1

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Authors

ZSZsolt T. StockingerNaval Hospital Jacksonville NMNorman E. McSwainTulane University

Discussion

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Implication

Retrospective study reveals low survival after field cardiopulmonary resuscitation in trauma patients, indicating that resuscitation in nonviable cases should be withheld or terminated.

Key Points

To evaluate survival rates among trauma patients receiving prehospital cardiopulmonary resuscitation and determine prehospital indicators of non-survivable injury.
Retrospective review of a Level I trauma center database covering 588 trauma patients who received prehospital cardiopulmonary resuscitation between January 1, 1997, and December 31, 2002.
Analyzed mechanisms of injury, prehospital vital signs, Revised Trauma Scores (RTS), and survival to hospital discharge.
Overall survival to hospital discharge was 3.7% (22/588), with 60.7% dying prior to hospital admission and 32.6% dying within the first hospital day.
Survival was significantly lower for penetrating injuries (0.9%) compared to blunt trauma (6.2%) and other mechanisms (13.2%, p < 0.001), matching lower mean RTS values (0.32 vs 0.76 and 1.18, p < 0.05).
Patients with an initial RTS of 0 had an overall survival rate of less than 1%, and 0% among those with penetrating injuries.

Cite This Study

Stockinger et al. (2004) studied this question.

synapsesocial.com/papers/6a706bcd6c240de38cdbcc5f https://doi.org/10.1016/j.jamcollsurg.2003.10.012

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Implication

Retrospective study reveals low survival after field cardiopulmonary resuscitation in trauma patients, indicating that resuscitation in nonviable cases should be withheld or terminated.