Paramedic PapersHome Cardiac arrest Timing of out-of-hospital traumatic cardiac arrest
Cardiac arrest
Timing of out-of-hospital traumatic cardiac arrest
Timing and outcomes of out-of-hospital traumatic cardiac arrest: results of a multicentre, retrospective cohort study
Resuscitation Plus · Added 27 July 2026
Nine out of ten out-of-hospital TCAs occur before EMS arrival.
- Study type
- Cohort
- Design
- Multicentre retrospective observational cohort (nationwide HEMS)
- Participants
- 1,532 patients with out-of-hospital traumatic cardiac arrest
- Main finding
- 90.2% sustained TCA before EMS arrival, 8.2% after EMS arrival and 1.6% during HEMS transport; sustained ROSC occurred in 20.8%, 47.2% and 92.0% respectively; meaningful survival achievable regardless of TCA onset
- Caveat
- Retrospective design; HEMS-attended patients only, limiting generalisability to routine ambulance responses
- Bottom line
- Supports current practice
Learning goal
Weigh the prognostic value of arrest timing during transport when deciding duration of resuscitation in traumatic cardiac arrest.
More
- Topic: Cardiac arrest
- Daily scan: 27 July 2026
Related papers on Cardiac arrest
-
EEG-guided early sedation withdrawal post-arrest feasible
Early withdrawal of sedation is feasible and safe in patients with an early favourable EEG following cardiac arrest.
-
AI EEG prognostication after cardiac arrest
Accurate prediction of neurological outcome after cardiac arrest is essential for guiding intensive care decisions.
-
Public AED cost per shock
Analysis of public AED deployment cost-effectiveness found very low usage rates relative to investment — the study examines strategies to improve cost per delivered shock.
-
Rescue breathing better in paediatric drowning arrest
In pediatric drowning OHCA, CO-CPR was associated with worse survival and neurological outcomes than RB-CPR.