Characteristics and Outcomes of Traumatic Cardiac Arrests in the Pan-Asian Resuscitation Outcomes Study*

Traumatic atlanto‐occipital dislocation with successfully bystander resuscitation after cardiopulmonary arrest: A case report

“…In the present case, the patient was successfully resuscitated using bystander CPR. A study by Lee et al., published in 2022, demonstrated that bystander CPR was associated with higher rates of survival to discharge (adjusted odds ratio [aOR] = 2.16) and favorable neurological outcomes (aOR = 4.98) 14 . Recent reports indicate that the survival rate for out‐of‐hospital cardiac arrest has increased from 9.1% to 17.5% in 30 years, attributed to factors such as increased rates of bystander CPR 15 .…”

Traumatic cardiac arrest

“…Trauma and cardiac arrest registries differ in how they define a case of TCA, which can impede comparisons between studies. Over the last 18 months studies have reported outcomes amongst all patients attended by emergency medical services (EMS) [2], only those who received treatment by EMS [3 ▪ ], only those taken to hospital [4 ▪ ] through to only those who survived to be admitted to intensive care [5]. Survival to discharge rates were lowest in studies that reported all patients (147/3891, 3.7%) [2] and highest in those who limited reporting to those who were admitted to intensive care (13/37, 35%).…”

“…Other factors associated with better outcomes included younger age [7], female sex [7], lower injury severity [4 ▪ ,7], extremity injury [7], arrest witnessed by a clinician [3 ▪ ,7,8], bystander cardiopulmonary resuscitation (CPR) [3 ▪ ], an initially shockable rhythm [2,3 ▪ ,4 ▪ ,6 ▪▪ ,9], advanced airway management [2], intravenous access [2], shorter transfer time [10 ▪ ], reactive pupils [4 ▪ ,9], and receiving emergency surgery [7].…”