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Survival of Out-of-Hospital Pediatric Blunt Traumatic Arrest With Full Neurologic Recovery: Case Report
Zachary T Fica1, Amy Marquez2, John Ehrhart2
1Department of Emergency Medicine, University of California San Diego, San Diego, CA.
Insights
A pediatric cardiac arrest due to abdominal trauma resulted in survival with excellent neurologic outcomes. Timely advanced trauma life support interventions, including early blood products, were crucial for this remarkable recovery.
Area of Science:
- Emergency Medicine
- Pediatric Trauma Surgery
Background:
- Out-of-hospital cardiac arrest (OHCA) in children presents significant management challenges.
- Abdominal trauma is a leading cause of preventable death in pediatric trauma patients.
Observation:
- A previously healthy 10-year-old male experienced OHCA following abdominal trauma.
- The patient presented with severe intra-abdominal injuries, coagulopathy, and required an extended pediatric intensive care unit stay.
Findings:
- Despite the severity of injuries, the patient achieved excellent neurologic outcomes.
- Near complete return to baseline functional status was observed at hospital discharge.
Implications:
- This case highlights the critical importance of rapid response and efficient resource mobilization in pediatric trauma.
- Timely advanced trauma life support (ATLS) interventions, including early blood product administration, airway management, and efficient transport, are vital for survival and recovery.
- Early and aggressive management can lead to favorable outcomes even in cases of severe pediatric traumatic arrest.
Abstract:
We present the case of a 10-year-old previously healthy male who suffered an out-of-hospital cardiac arrest because of abdominal trauma and survived with excellent neurologic outcomes and near complete return to baseline functional status at hospital discharge. The rapid response and efficient mobilization of resources led to an excellent patient outcome despite the severity of injuries, including intra-abdominal injuries with expected mortality, out-of-hospital traumatic arrest, coagulopathy, and an extended pediatric intensive care unit stay. This case underscores the significance of timely advanced trauma life support interventions, especially early blood product administration, efficient transport, and airway management, while sharing a remarkable case of out-of-hospital pediatric traumatic arrest with near full recovery.
