Return of Spontaneous Circulation in Traumatic Cardiac Arrest Achieved by Traumatic-Based Resuscitation – A Case Report

In recent years, the approach to traumatic cardiac arrest (TCA) has undergone a significant transformation, moving from what was once considered futile to a more promising and structured intervention. The European Resuscitation Council (ERC) Guidelines established a framework for the management of TCA. We presented a case of return of spontaneous circulation (ROSC) in traumatic cardiac arrest achieved by traumatic – based resuscitation adhered to this guideline. A 50-years-old man who fell from a height of 10 feet arrived at Emergency Department in cardiac arrest. Immediate cardiopulmonary resuscitation (CPR) was initiated. The patient was intubated using endotracheal intubation for airway management. Oxygen and ventilation were delivered through bag-valve-mask. Chest compressions were started, and warm intravenous fluid and blood transfusions were administered to address hypovolemia. Manual compression was applied to stop massive bleeding from the scalp and the left ear. ROSC was achieved following bilateral chest decompression. TCA algorithm had higher rate of ROSC as well as a trend towards improved survival to discharge. Practitioners should prioritise the rapid and aggressive treatment of potential reversible causes in TCA patients.