Curtin University Homepage
  • Library
  • Help
    • Admin

    espace - Curtin’s institutional repository

    JavaScript is disabled for your browser. Some features of this site may not work without it.
    View Item 
    • espace Home
    • espace
    • Curtin Research Publications
    • View Item
    • espace Home
    • espace
    • Curtin Research Publications
    • View Item

    Resuscitation attempts and duration in traumatic out-of-hospital cardiac arrest

    Access Status
    Fulltext not available
    Authors
    Beck, B.
    Bray, Janet
    Cameron, P.
    Straney, L.
    Andrew, E.
    Bernard, S.
    Smith, K.
    Date
    2017
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Beck, B. and Bray, J. and Cameron, P. and Straney, L. and Andrew, E. and Bernard, S. and Smith, K. 2017. Resuscitation attempts and duration in traumatic out-of-hospital cardiac arrest. Resuscitation. 111: pp. 14-21.
    Source Title
    Resuscitation
    DOI
    10.1016/j.resuscitation.2016.11.011
    ISSN
    0300-9572
    School
    School of Nursing and Midwifery
    URI
    http://hdl.handle.net/20.500.11937/7932
    Collection
    • Curtin Research Publications
    Abstract

    Background This study aimed to understand factors associated with paramedics’ decision to attempt resuscitation in traumatic out-of-hospital cardiac arrest (OHCA) and to characterise resuscitation attempts =10 min in patients who die at the scene. Methods The Victorian Ambulance Cardiac Arrest Registry (VACAR) was used to identify all cases of traumatic OHCA between July 2008 and June 2014. We excluded cases <16 years of age or with a mechanism of hanging or drowning. Results Of the 2334 cases of traumatic OHCA, resuscitation was attempted in 28% of cases and this rate remained steady over time (p = 0.10). Multivariable logistic regression revealed that the arresting rhythm [shockable (adjusted odds ratio (AOR) = 18.52, 95% confidence interval (CI):6.68–51.36) or pulseless electrical activity (AOR = 12.58, 95%CI:9.06–17.45) relative to asystole] and mechanism of injury [motorcycle collision (AOR = 2.49, 95%CI:1.60–3.86), fall (AOR = 1.91, 95%CI:1.17–3.11) and shooting/stabbing (AOR = 2.25, 95%CI:1.17–4.31) relative to a motor vehicle collision] were positively associated with attempted resuscitation. Arrests occurring in rural regions had a significantly lower odds of attempted resuscitation relative to those in urban regions (AOR = 0.64, 95%CI:0.46–0.90). Resuscitation attempts =10 min represented 34% of cases in which resuscitation was attempted but the patient died at the scene. When these resuscitation attempts were selectively excluded from the overall EMS treated population, survival to hospital discharge non-significantly increased from 3.8% to 5.0% (p = 0.314). Conclusion Survival in our study was consistent with existing literature, however the large proportion of cases with resuscitation attempts =10 min may under-represent survival in those patients that receive full resuscitation attempts.

    Related items

    Showing items related by title, author, creator and subject.

    • Traumatic out-of-hospital cardiac arrests in Melbourne, Australia
      Deasy, C.; Bray, Janet; Smith, K.; Harriss, L.; Morrison, C.; Bernard, S.; Cameron, P. (2012)
      Introduction: Many consider attempted resuscitation for traumatic out-of-hospital cardiac arrest (OHCA) futile. This study aims to describe the characteristics and profile of adult traumatic OHCA. Methods: The Victorian ...
    • Predicting outcomes in traumatic out-of-hospital cardiac arrest: The relevance of Utstein factors
      Beck, B.; Bray, Janet; Cameron, P.; Straney, L.; Andrew, E.; Bernard, S.; Smith, K. (2017)
      Background: Given low survival rates in cases of traumatic out-of-hospital cardiac arrest (OHCA), there is a need to identify factors associated with outcomes. We aimed to investigate Utstein factors associated with ...
    • Paediatric traumatic out-of-hospital cardiac arrests in Melbourne, Australia
      Deasy, C.; Bray, Janet; Smith, K.; Hall, D.; Morrison, C.; Bernard, S.; Cameron, P. (2012)
      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 ...
    Advanced search

    Browse

    Communities & CollectionsIssue DateAuthorTitleSubjectDocument TypeThis CollectionIssue DateAuthorTitleSubjectDocument Type

    My Account

    Admin

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    Follow Curtin

    • 
    • 
    • 
    • 
    • 

    CRICOS Provider Code: 00301JABN: 99 143 842 569TEQSA: PRV12158

    Copyright | Disclaimer | Privacy statement | Accessibility

    Curtin would like to pay respect to the Aboriginal and Torres Strait Islander members of our community by acknowledging the traditional owners of the land on which the Perth campus is located, the Whadjuk people of the Nyungar Nation; and on our Kalgoorlie campus, the Wongutha people of the North-Eastern Goldfields.