Epidemiology of traumatic cardiac arrest in patients presenting to emergency department at a level 1 trauma center.
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.


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.


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.


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.
['Bhoi|Sanjeev|S|', 'Mishra|Prakash Ranjan|PR|', 'Soni|Kapil Dev|KD|', 'Baitha|Upendra|U|', 'Sinha|Tej Prakash|TP|']
traumatic cardiac arrest emergency department road traffic crash Cardiopulmonary resuscitation