Cardiac arrest & resuscitation
Unlocking survival in traumatic cardiac arrest: global insights, innovations, and unmet needs
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 →