@article{ref1,
title="Epidemiology of traumatic cardiac arrest in patients presenting to emergency department at a Level 1 trauma center",
journal="Indian journal of critical care medicine",
year="2016",
author="Bhoi, Sanjeev and Mishra, Prakash Ranjan and Soni, Kapil Dev and Baitha, Upendra and Sinha, Tej Prakash",
volume="20",
number="8",
pages="469-472",
abstract="INTRODUCTION: There is a paucity of literature on prehospital care and epidemiology of traumatic cardiac arrest (TCA) in India. This study highlights the profile and characteristics of TCA. <br><br>METHODS: A retrospective cohort study was conducted to study epidemiological profile of TCA patients ≥1 year presenting to a level 1 trauma center of India. <br><br>RESULTS: One thousand sixty-one patients were recruited in the study. The median age (interquartile range) was 32 (23-45) years (male:female ratio of 5.9:1). Asystole (253), pulseless electrical activity (11), ventricular fibrillation (six), and ventricular tachycardia (five) were initial arrest rhythm. Road traffic crash (RTC) (57.16%), fall from height (18.52%), and assault (10.51%) were modes of injury. Prehospital care was provided by police (36.59%), ambulance (10.54%), relatives (45.40%), and bystanders (7.47% cases). Return of spontaneous circulation was seen in 69 patients, of which only three survived to hospital discharge. <br><br>CONCLUSION: RTC in young males was a major cause of TCA. Asystole was the most common arrest rhythm. Police personnel were major prehospital service provider. Prehospital care needs improvement including the development of robust TCA registry.<p /> <p>Language: en</p>",
language="en",
issn="0972-5229",
doi="10.4103/0972-5229.188198",
url="http://dx.doi.org/10.4103/0972-5229.188198"
}