8
Cardiopulmonary Resuscitation
138 trauma patients with prehospital cardiac arrest and in whom
resuscitation was attempted.
No survivors
Authors recommended that trauma patients in cardiopulmonary arrest
not be transported emergently to a trauma center even in a civilian
setting due to large economic cost of treatment without a significant
chance for survival.
Rosemurgy et al. J Trauma 1993
Cardiopulmonary Resuscitation on the Battlefield
- CPR performers may get killed
- Mission gets delayed
- Casualty stays dead
CPR on the Battlefield: Ranger Airfield Operation in Granada
Airfield Seizure Operation
Ranger shot in head by sniper
No pulse or respirations
CPR attempts unsuccessful
Operation delayed while CPR perofrmed
Ranger PA finally intervened
Scenario-Based Training
Urban Warfare Scenario 1
- 16 man Ranger team
- 70 foot fast rope insertion for building assault
- One man misses rope and falls
-
Unconscious
- Bleeding from mouth and ears
- Taking fire from all directions from hostile crowds
Care under Fire
- Return fire?
- Move patient to cover right away or wait for long board immobilization?
- How should he be moved?
-
Intubation?
