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Abstract
The management of cardiac arrest varies significantly depending on the underlying etiology. Trauma-induced cardiac arrest (TCA) presents unique challenges that differentiate it from cardiac arrests due to other causes such as medical or cardiac etiologies. This article aims to elucidate the differences in incidence, pathophysiology, and outcomes between TCA and non-trauma cardiac arrests, providing a comprehensive guide for emergency physicians, nurses, and paramedics.
Introduction
Cardiac arrest is a critical emergency that requires immediate intervention. However, not all cardiac arrests are the same. While Advanced Cardiovascular Life Support (ACLS) guidelines provide a framework for the resuscitation of cardiac arrest due to medical causes, trauma-induced cardiac arrest (TCA) often necessitates a different approach. Understanding these differences is crucial for optimizing patient outcomes.
Importance of Early Recognition and Intervention in TCA
Early recognition of TCA is vital for initiating appropriate resuscitation measures. The “golden hour” concept is especially relevant here, as delays in intervention can exacerbate the trauma diamond of death, acidosis, hypothermia, coagulopathy, and hypocalcemia, leading to irreversible damage.