Prehospital cardiopulmonary resuscitation in the pediatric trauma patient

Joseph T. Murphy, Kshama Jaiswal, Joseph Sabella, Lori Vinson, Steve Megison, R. Todd Maxson

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Purpose: Children requiring prehospital cardiopulmonary resuscitation (CPR) after traumatic injury have been shown to have poor survival. However, outcome of children still receiving CPR on-arrival by emergency medical service to the emergency department (ED) has not been demonstrated in a published clinical series. Methods: An 11-year retrospective analysis from a level I pediatric trauma center of the outcomes of children requiring prehospital CPR after traumatic injury was undertaken. Outcome variables were stratified by survival, death, and CPR on-arrival. Results: Of 169 children requiring prehospital CPR, there were 28 survivors and 141 deaths. Of 69 children requiring CPR on-arrival to the ED, there were no survivors. There were 70 females and 99 males. Mean age of survivors was 3.4 years; nonsurvivors, 8.8 years; and 4.6 years for CPR on-arrival. Thirty-nine percent of all injuries were sustained in motor vehicle collisions; 20%, motor pedestrian collisions; 19%, assaults; 7%, falls; 4%, all terrain vehicle/motorcycle/bicycle; and 4%, gunshot wounds. Forty-two percent of all patients expired in the ED, whereas 34% expired in the intensive care unit. Eighty-seven percent of CPR on-arrival patients expired in the ED. Fifty-five percent of survivors had full neurologic recovery. Conclusion: Although mortality was extremely high for children requiring CPR in the field After traumatic injury, it was absolute for those arriving at the ED still undergoing CPR.

Original languageEnglish (US)
Pages (from-to)1413-1419
Number of pages7
JournalJournal of Pediatric Surgery
Volume45
Issue number7
DOIs
StatePublished - 2010

Fingerprint

Cardiopulmonary Resuscitation
Pediatrics
Wounds and Injuries
Hospital Emergency Service
Survivors
Off-Road Motor Vehicles
Motorcycles
Gunshot Wounds
Survival
Trauma Centers
Emergency Medical Services
Motor Vehicles
Nervous System
Intensive Care Units
Mortality

Keywords

  • Cardiopulmonary resuscitation
  • Children
  • CPR
  • Injury
  • Mortality
  • Survival
  • Trauma

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health
  • Medicine(all)

Cite this

Prehospital cardiopulmonary resuscitation in the pediatric trauma patient. / Murphy, Joseph T.; Jaiswal, Kshama; Sabella, Joseph; Vinson, Lori; Megison, Steve; Maxson, R. Todd.

In: Journal of Pediatric Surgery, Vol. 45, No. 7, 2010, p. 1413-1419.

Research output: Contribution to journalArticle

Murphy, Joseph T. ; Jaiswal, Kshama ; Sabella, Joseph ; Vinson, Lori ; Megison, Steve ; Maxson, R. Todd. / Prehospital cardiopulmonary resuscitation in the pediatric trauma patient. In: Journal of Pediatric Surgery. 2010 ; Vol. 45, No. 7. pp. 1413-1419.
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