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  1. Prehospital traumatic cardiac arrest : the cost of futility. Discussion.

    Article, Congrès - En anglais

    Eastern Association for the Surgery of Trauma. Annual scientific assembly. Longboat Key FL (USA), 1993/01/13.

    Of 12,462 trauma patients cared for by prehospital services from October 1, 1989 to March 31, 1991, 138 patients underwent CPR at the scene or during transport because of the absence of blood pressure, pulse, and respiration.

    Ninety-six (70%) suffered blunt trauma, 42 (30%) suffered penetrating trauma.

    Sixty (43%) were transported by air utilizing county-wide transport protocols.

    None of the patients survived

    Aggregate care cost $871, 186.00.

    In 11 cases (8%), tissue for transplantation was procured (only corneas).


    Trauma patients who require CPR at the scene or in transport die.

    Infrequent organ procurement does not seem to justify the cost (primarily borne by hospitals), consumption of resources, and exposure of health care providers to occupational health hazards.

    Mots-clés Pascal : Traumatisme, Appareil circulatoire pathologie, Traitement, Homme, Coût, Réanimation cardiocirculatoire, Arrêt cardiocirculatoire

    Mots-clés Pascal anglais : Trauma, Cardiovascular disease, Treatment, Human, Costs, Intensive cardiocirculatory care, Cardiocirculatory arrest

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 93-0680143

    Code Inist : 002B27B01. Création : 199406.