title: Study regarding the survival of patients suffering a traumatic cardiac arrest.
abstract: Severe trauma is the most frequent cause of death in young people, in civilized countries with major social and vital costs. The speed of diagnostic decision making and the precocity of treatment approaches are both essential and depend on the specialists' colaboration. The present study aims to emphasize the actual situation of medical interventions in case of cardiorespiratory arrest due to trauma. 1387 patients who suffered a cardio respiratory arrest both traumatic and non-traumatic were included in order to point out the place of traumatic arrest. Resuscitation of such patients is considered useless and resource consumer by many trauma practitioners who are reporting survival rates of 0%-3.5%. As the determinant of lesions, trauma etiology was as it follows car accidents - 43%, high falls - 30%, suicidal attempts - 3%, domestic violence - 3%, other causes - 21%. Hypovolemia remains the major cause of cardiac arrest and death and that is why the efforts of emergency providers (trauma team) must be oriented towards "hidden death" in order to avoid it. This condition could be revealed and solved easier with minimal diagnostic and therapeutic maneuvers in the emergency department.
authors.affiliation: Department of Anaesthesia and Intensive Care, "Carol Davila" Nephrology Hospital, Bucharest, Romania.
authors.forename: V
authors.initials: V
authors.lastname: Georgescu
authors.affiliation: Department of Anaesthesia and Intensive Care, "Carol Davila" Nephrology Hospital, Bucharest, Romania.
authors.forename: O
authors.initials: O
authors.lastname: Tudorache
authors.affiliation: Department of Anaesthesia and Intensive Care, "Agrippa Ionescu" Emergency Hospital, Bucharest, Romania.
authors.forename: M
authors.initials: M
authors.lastname: Nicolau
authors.affiliation: Department of Surgery, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
authors.forename: V
authors.initials: V
authors.lastname: Strambu
mesh_terms: D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006323:Heart Arrest / Q000401:mortality*; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D012151:Resuscitation; D012383:Romania / Q000453:epidemiology; D012424:Rural Population / Q000706:statistics & numerical data; D012720:Severity of Illness Index; D016019:Survival Analysis; D014505:Urban Population / Q000706:statistics & numerical data