Analysis of traumatic cardiorespiratory arrest cases in a level 3 emergency department
Journal Title: Gulhane Medical Journal - Year 2020, Vol 62, Issue 1
Abstract
Aim: Our study aims to investigate the return of spontaneous circulation (ROSC) outcomes in traumatic arrest patients that were admitted to the emergency department (ED). Methods: This study retrospectively investigates traumatic cardiorespiratory arrest (TCA) cases that were admitted to the level 3 ED of a university hospital between October 1, 2016 and April 30, 2019. The study includes TCA cases where cardiopulmonary resuscitation was performed in the preclinical phase, and/or after admission to the ED. Additional data were collected for statistical analysis: ROSC, age, gender, mechanism of injury, laboratory findings, injury severity scores (ISS), imaging methods, and consultation requests. The exclusion criteria were as follows: (a) non-traumatic arrest, (b) incomplete records. Results: A total of 41 TCA patients were included in the study. ROSC was achieved in 16 patients (39.0%). Ten subjects (24.4%) were female and 31 (75.6%) were male, and the mean age of the sample group was 46.56±26.49 years. ROSC did not significantly depend on gender or age (p=0.612, 0.064, respectively). Most of the traumatic injuries were in the head-neck region, the extremities, and the thorax. ROSC did not significantly depend on the mechanism of injury (p=0.620). ROSC was significantly correlated with ISS scores (p=0.006). Conclusion: According to our data, TCA mostly occur due to blunt trauma among the young adult male population and ISS scores seem useful in predicting ROSC. Trauma team formation should be directed to reversible causes of TCA, such as bleeding control, blood/blood product transfusions, and thoracostomy, to improve patient outcomes.
Authors and Affiliations
Yahya Ayhan Acar, Sedat Bilge
Keywords
Related Articles
- EP ID EP684394
- DOI 10.4274/gulhane.galenos.2020.931
- Views 187
- Downloads 0
Natural irrigation solutions in endodontics
It has been discovered that due to the complex structure of root canals, mechanical instrumentation alone was not sufficient to remove microorganisms settled in the pulp cavity and the infected or non-infected pulp resid...
The analysis of learning needs and level of awareness for patients who underwent thoracic surgery
Aims: The aim of this study is to define learning needs and level of mindfulness in patients that underwent thoracic surgery. Methods: This cross-sectional descriptive study was conducted on 100 patients, who underwent...
Evaluation of the efficacy of bite wafer chewing in pain reduction in fixed orthodontic appliance treatment
Aim: The purpose of this study was to assess the efficacy of bite wafer (BW) in reducing pain levels, which is a highly complex and subjective phenomenon by assessing the substance P level in the gingival crevicular flui...
Autologous stem cell transplantation in patients with extragonadal germ cell tumors: A single center experience
Aims: In extragonadal germ cell tumors (EGGCT), chemosensitivity and prognosis are worse than in GCT tumors. There is no standard salvage chemotherapy regimen for relapsed/refractory EGGCT patients. Autologous stem cell...
Relationship between vitamin D levels and platelet count: A retrospective study
Aims: Vitamin D deficiency, increase in mean platelet volume (MPV) and high platelet counts are related to several diseases. The aim of this study is to analyze the relationship between vitamin D status and platelet coun...