The HOTT Principles for Managing Traumatic Cardiac Arrest скачать в хорошем качестве

The HOTT Principles for Managing Traumatic Cardiac Arrest

Traumatic cardiac arrest (TCA) is a rare event in the pre-hospital setting and has a varied aetiology. Paramedic management has changed significantly over the past 5 years. A 2016 review of TARN data reported 30-day survival following pre-hospital traumatic cardiac arrest to be approximately 7.5%. Chest compressions have been de-emphasised in guidelines, and the 'HOTT' principles have been adopted. This principle stands for: (H)ypovolaemia - a state of low extracellular fluid volume, generally secondary to combined sodium and water loss. CONTROL EXTERNAL MAJOR HAEMORRHAGE SPLINT THE PELVIS AND FRACTURES GAIN WIDEBORE IV/IO ACCESS TXA AND FLUID ADMINISTRATION* (O)xygenation - Hypoxia is a condition in which the body or a region of the body is deprived of adequate oxygen supply at the tissue level. GOOD AIRWAY MANAGEMENT SECURE A DEFINITIVE AIRWAY [INTUBATION ) DELIVER HIGH FLOW 100% OXYGEN SET UP ETCO2 MONITORING (T)ension Pneumothorax - is a rare disease that occurs when air builds up in the pleural space between the lung and chest wall, compressing the lungs and increasing pressure in the chest. This can happen when a chest wall or lung injury creates a one-way valve that allows air in but not out. & (T)amponade (Cardiac) - is a medical emergency that occurs when fluid, blood, or air builds up in the pericardial sac around the heart, compressing it and preventing it from working properly. BILATERAL NEEDLE DECOMPRESSION* BILATERAL THORACOSTOMIES* EARLY CONSIDERATION FOR ADVANCED PARAMEDIC / HEMS SUPPORT AND INTERVENTION. RAPID TRANSFER TONTHE NEAREST MAJOR TRAUMA CENTRE. These principles are used to describe simultaneous interventions to rapidly treat reversible causes of cardiac arrest. Clinicians should work together to manage these elements before starting full ALS protocols. However, there may be certain patient groups in traumatic cardiac arrest who may benefit from chest compressions, where compressions should be commenced as soon as appropriate reversible causes have been addressed. #clinical #education #learning #trending #medical #doctor #nursing #paramedics #paramedicstudent #medicalstudent