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, 20 (8), 469-72

Epidemiology of Traumatic Cardiac Arrest in Patients Presenting to Emergency Department at a Level 1 Trauma Center


Epidemiology of Traumatic Cardiac Arrest in Patients Presenting to Emergency Department at a Level 1 Trauma Center

Sanjeev Bhoi et al. Indian J Crit Care Med.


Introduction: There is a paucity of literature on prehospital care and epidemiology of traumatic cardiac arrest (TCA) in India. This study highlights the profile and characteristics of TCA.

Methods: A retrospective cohort study was conducted to study epidemiological profile of TCA patients ≥1 year presenting to a level 1 trauma center of India.

Results: One thousand sixty-one patients were recruited in the study. The median age (interquartile range) was 32 (23-45) years (male:female ratio of 5.9:1). Asystole (253), pulseless electrical activity (11), ventricular fibrillation (six), and ventricular tachycardia (five) were initial arrest rhythm. Road traffic crash (RTC) (57.16%), fall from height (18.52%), and assault (10.51%) were modes of injury. Prehospital care was provided by police (36.59%), ambulance (10.54%), relatives (45.40%), and bystanders (7.47% cases). Return of spontaneous circulation was seen in 69 patients, of which only three survived to hospital discharge.

Conclusion: RTC in young males was a major cause of TCA. Asystole was the most common arrest rhythm. Police personnel were major prehospital service provider. Prehospital care needs improvement including the development of robust TCA registry.

Keywords: Cardiopulmonary resuscitation; emergency department; road traffic crash; traumatic cardiac arrest.


Figure 1
Figure 1
Annual burden of trauma patients in the emergency department

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