Traumatic cardiac arrest is almost universally fatal. However, cardiac arrest in the setting of minor trauma may indicate initial cardiac or medical origin of incident requiring ACLS intervention.
| EMR - Emergency Medical Responder
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- Asses Scene Safety
- Assess for indications to withhold CPR. If none, initiate CPR.
- Apply AED and shock as advised
- Notify responding agency immediately of condition and mechanism of injury (blunt vs. penetrating)
- Assess, secure and maintain an adequate airway via the airway management protocol.
- Prepare for immobilization and rapid transport
| EMT - Emergency Medical Technician Perform/Confirm All Above Interventions
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- Reassess for indications to withhold CPR
- If no signs of life are present, consult MEDICAL CONTROL for further orders.
- Apply cardiac monitor, if trained to do so. Print rhythm strip for reference.
| AEMT – Advanced Emergency Medicine Tech Perform/Confirm All Above Interventions
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- Establish IV access if indicated.
- Large bore and two sites are preferred for Major Trauma. Avoid sites distal to deformities or on injured extremities.
- Fluid bolus 20 mL/kg up to 500 mL. Reassess and repeat x2.
| Intermediate - Perform/Confirm All Above Interventions
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- Perform an ALS assessment and reassess for indications to withhold CPR
- If tension pneumothorax is suspected, perform needle thoracostomy by inserting a 3-5” 10-12 gauge angiocath in the 2nd or 3rd intercostal space in the mid-clavicular line on the affected side. Remove needle leaving catheter in place.
- Contact MEDICAL CONTROL to discuss viability
| Paramedic - Perform/Confirm All Above Interventions
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