Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
, 20 (8), 469-72

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

Affiliations

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.

Abstract

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.

Figures

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

Similar articles

See all similar articles

Cited by 2 PubMed Central articles

References

    1. World Health Organization. Global Status Report on Road Safety. 2015. [Last accessed on 2015 Oct 25]. Available from: http://www.who.int/violence_injury_prevention/road_safety_status/2015/en/
    1. Accidental Deaths and Suicides in India 2014. New Delhi: Ministry of Home Affairs, Government of India; 2014. [Last accessed on 2015 Oct 25]. National Crimes Records Bureau. Available from: http://www.ncrb.gov.in .
    1. Das AK, Gupta SB, Joshi SR, Aggarwal P, Murmu LR, Bhoi S, et al. White paper on academic emergency medicine in India: INDO-US Joint Working Group (JWG) J Assoc Physicians India. 2008;56:789–98. - PubMed
    1. Husain S, Eisenberg M. Police AED programs: A systematic review and meta-analysis. Resuscitation. 2013;84:1184–91. - PubMed
    1. Bhoi S, Thakur N, Chauhan S, Kumar R, Aggarwal D, Gulati V, et al. (A24) Does community emergency care initiative improves the knowledge, skill, and attitude of healthcare workers and laypersons in basic emergency care in India? Prehosp Disaster Med. 2011;26:s7–8.

LinkOut - more resources

Feedback