Article Document Academic Article Information Content Entity Continuant Continuant Journal Article Entity Entity Generically Dependent Continuant 2025-05-06T08:43:39 RDF description of Intact survival from a blunt trauma cardiac arrest using intraoperative automated CPR - http://repository.healthpartners.com/individual/document-rn36054 Intact survival from a blunt trauma cardiac arrest using intraoperative automated CPR 47 document-rn36054 38866 Injuries <p>Survival following a blunt traumatic cardiac arrest is rare. Current guidelines suggest that a resuscitative thoracotomy may be performed under specific circumstances. This approach is almost always futile. Technology such as reliable point of care ultrasound and automated compression devices may allow surgeons to consider a damage control laparotomy as the initial surgical approach in blunt trauma cardiac arrest when the point of care ultrasound is positive for intraabdominal injury and there is low suspicion of an unstable intrathoracic injury. Here we present what we believe to be the first reported successful resuscitation of a patient who suffered a blunt trauma cardiac arrest utilizing an automated CPR device before and during an exploratory damage control laparotomy. Despite severe trauma this patient was discharged home, neurologically intact. We believe this case may support the use of automated CPR in the setting of blunt trauma cardiac arrest in patients, assuming the patient has a negative point of care ultrasound for intrathoracic injury, a positive point of care ultrasound for intraperitoneal hemorrhage, and is receiving vigorous blood product administration.<p> public 2024-04-14T22:05:32.676-05:00 22553 Critical Care 10.1016/j.tcr.2023.100898 Trauma case reports Resuscitation