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Traumatic Cardiac Arrest (CPG A0201-2)

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Stop

  • Only progress if Hx, MOI or injuries do not suggest medical cause of cardiac arrest

  • Prioritise major haemorrhage control if required over all other interventions

  • Severe crush injury: Sodium Bicarbonate 8.4% 100 mL IV / IO and Calcium Gluconate 10% 2.2 mmol (1 g) IV (slow push)

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Prioritise interventions before chest compressions in order of clinical need

  • Airway

    • Ensure patent airway, oxygenation and ventilation

    • Supraglottic airway

  • TPT

    • Decompress chest bilaterally

  • Hypovolaemia

    • N/Saline IV 20 mL/kg

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Advanced Paramedic

  • Consider ETT or Cricothyroidotomy where trauma prevents other airway Mx

  • N/Saline IV/IO 20 mL/kg

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Cardiac arrest persists

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Flow Chart

Traumatic Cardiac Arrest Flowchart.jpg

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