Case Stem

12 year old female MVC, rear seat belted. Prolonged extrication at scene. Initially drowsy then lost pulse and CPR started with BVM and epi X1. Bilateral needle decompression performed to the 2nd intercostal space mid-axillary space, no improvement. IV access lost en route. CPR ongoing x 10 minutes by EMS. Estimated 50kg.

Learning Objectives

1. Systematic approach to trauma management for trauma 1 traumatic arrest

2. Early recognition of blunt traumatic arrest and application of HOTS

3. Proper recognition and placement of chest tube in traumatic arrest

4. Maintain effective communication within trauma team members

 

Core Learning

SickKids HOTS algorithm for pediatric traumatic arrest, July 2018

SickKids Traumatic arrest updates, June 2021

SickKids massive hemorrhage protocol 2021

Checklist

Additional Resources

European Resuscitation Council Guidelines 2021: Cardiac arrest in special circumstances

Paediatric Traumatic Cardiac Arrest