Cardiac arrest & resuscitation

Unlocking survival in traumatic cardiac arrest: global insights, innovations, and unmet needs

Crit CarePublished Scoping review

Study context

Population
Patients with traumatic cardiac arrest (TCA); literature 2016 to 2025

Main finding

As reported in the abstract

  • Global survival rates after TCA persistently below 7.5%
  • TCA predominantly affects young males, results primarily from blunt mechanisms; severe hemorrhage and TBI leading critical lesions
  • REBOA and emergency resuscitative thoracotomy widely adopted; robust evidence for survival benefit limited and context dependent
  • Early correction of reversible causes, targeted hemorrhage control and timely ALS measures (especially prehospital thoracostomy and vascular access) significantly increase likelihood of ROSC and favorable neurological outcomes
  • Routine epinephrine: at best inconsistent benefits, may be detrimental in blunt trauma
  • Survival influenced by initial rhythm, signs of life, rapid triage to trauma centers, tailored protocols for pediatric and older populations

Original publication

Unlocking survival in traumatic cardiac arrest: global insights, innovations, and unmet needs. Crit Care. Published 24 October 2025. doi:10.1186/s13054-025-05700-4

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.