%0 Journal Article
%T Necessity of immediate cardiopulmonary resuscitation in trauma emergency
%A Baitello Luciano
%A Gonz¨˘les Marcela
%A Espada Cesar
%A Jos¨¦ de Godoy
%J World Journal of Emergency Surgery
%D 2010
%I BioMed Central
%R 10.1186/1749-7922-5-25
%X Of the 65 patients included in the study, 30% had suffered from gunshot wounds, 19% had been run over, 18% had been involved in car crashes, 13% in motor cycle accidents, 9% stabbings, 1% by cycle accidents and 10% other types of accidents including burns, hangings and falls. In only 12 of these patients, immediate resuscitation was successful and procedure such as chest drainage, exploratory laparotomy and interventions in the surgical center were performed. However all patients evolved to death; eight within 24 hours, two between 24 and 48 hours and the other 2 after 48 hours.Immediate cardiopulmonary resuscitation after accidents is a sign of high mortality requiring further studies to review indication and the ethical aspects involved.In the medical practice, the different scenarios in which cardiorespiratory resuscitation (CPR) may be applied must be taken into account. CPR is crucial in patients that arrive in emergency rooms or suffer a cardiac arrest in public places or in their homes. It is also critical in hospitalized patients with potentially reversible diseases, who suffer cardiac arrest as an unexpected event during their evolution [1].The latest guidelines for CPR and emergency cardiovascular care published by the American Heart Association include substantial changes to the algorithms for basic life support and advanced cardiovascular life support [2].The most critical emergency situation seen in cardiac surgical units is the need for chest reopening. While senior nurses often manage cardiac arrest they currently are not trained to open chests, which can be a life-saving action if performed efficiently [3]. The ability to respond quickly and effectively to a cardiac arrest situation rests on nurses being competent in the emergency life-saving procedure of CPR. The study findings present strong evidence to support the critical role of CPR training in ensuring that nursing student's progress to competent and confident responders in the event of a cardi
%U http://www.wjes.org/content/5/1/25