Paediatric traumatic cardiac arrest: data from the Joint Theatre Trauma Registry

Christopher M Hillman1, A Rickard2, M Rawlins3

  • 1Paediatric Emergency Department, St Mary's Hospital, London, UK.

Insights

Outcomes for pediatric traumatic cardiac arrest (TCA) in military field hospitals showed a 14.8% survival rate. This survival rate for pediatric traumatic cardiac arrest is similar to civilian and adult military studies.

Area of Science:

  • Emergency Medicine
  • Pediatric Critical Care
  • Military Medicine

Background:

  • Pediatric traumatic cardiac arrest (TCA) has poor survival and neurological outcomes.
  • Over 600 children with severe injuries were treated in UK military facilities during Iraq and Afghanistan conflicts.
  • Some of these children experienced cardiac arrest due to traumatic injuries.

Purpose of the Study:

  • To define outcomes for pediatric traumatic cardiac arrest (TCA) in a cohort of children treated in UK military medical facilities.
  • To analyze survival and neurological outcomes in pediatric TCA patients.
  • To compare outcomes with existing civilian and military studies.

Main Methods:

  • Retrospective database review using the UK Joint Theatre Trauma Registry.
  • Inclusion criteria: Patients under 18 years old between January 2003 and April 2014 who underwent cardiopulmonary resuscitation.
  • Focus on local national children treated in deployed UK military medical facilities.

Main Results:

  • Twenty-seven children with pediatric traumatic cardiac arrest (TCA) were included in the study.
  • Four children (14.8%) survived to discharge from the medical treatment facility.
  • Limited data were available on the long-term neurological outcomes for survivors.

Conclusions:

  • Outcomes for pediatric TCA in military field hospitals were comparable to civilian and adult military studies.
  • Severe blast injuries did not significantly alter outcomes compared to other studies.
  • Further research is required to establish optimal management strategies for pediatric TCA.
Abstract

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