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    Paediatric traumatic out-of-hospital cardiac arrests in Melbourne, Australia

    Access Status
    Fulltext not available
    Authors
    Deasy, C.
    Bray, Janet
    Smith, K.
    Hall, D.
    Morrison, C.
    Bernard, S.
    Cameron, P.
    Date
    2012
    Type
    Journal Article
    
    Metadata
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    Citation
    Deasy, C. and Bray, J. and Smith, K. and Hall, D. and Morrison, C. and Bernard, S. and Cameron, P. 2012. Paediatric traumatic out-of-hospital cardiac arrests in Melbourne, Australia. Resuscitation. 83 (4): pp. 471-475.
    Source Title
    Resuscitation
    DOI
    10.1016/j.resuscitation.2011.11.009
    ISSN
    0300-9572
    School
    School of Nursing and Midwifery
    URI
    http://hdl.handle.net/20.500.11937/37816
    Collection
    • Curtin Research Publications
    Abstract

    Introduction: Many consider attempted resuscitation for traumatic out-of-hospital cardiac arrest (OHCA) futile. This study aims to describe the characteristics and profile of paediatric traumatic OHCA. Methods: The Victorian Ambulance Cardiac Arrest Registry (VACAR) was used to identify all trauma related cases of OHCA in patients aged less than 16. years of age. Cases were linked with their coronial findings. Results: Between 2000 and 2009, EMS attended 33,722 OHCAs including 2187 adult traumatic OHCAs. There were 538 (1.6%) OHCAs in children less than 16. years of age of which n= 64 were due to trauma. The median age (IQR) of paediatric traumatic OHCA was 7 (4.5-13) years and 44 were male (69%). Bystander CPR was performed in 22 cases (34.4%). The first recorded rhythm by EMS was asystole seen in 42 (66%), PEA in 14 (22%) cases and VF in 2 cases (3%). Cardiac output was present in 7 (11%) cases who subsequently had an EMS witnessed OHCA. EMS attempted resuscitation in 35 (55%) patients of whom 7 (20%) achieved ROSC and were transported, and 1 (3%) survived to hospital discharge with severe neurological sequelae; 14(40%) were transported with CPR of whom none survived. Coronial cause of death was multiple injuries in 35%, head injury in 33%, head and neck injury in 10%, chest injuries in 10% and other causes (12%). Conclusions: Traumatic aetiology of OHCA when compared to the incidence of adult traumatic OHCAs is uncommon. Resuscitation efforts are seldom effective and associated with poor neurological outcome. © 2011 Elsevier Ireland Ltd.

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