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Field fluids before ROSC in crush arrests

Pre-hospital fluid resuscitation and return of spontaneous circulation in earthquake victims with cardiac arrest during the first 24 hours after the 2023 Kahramanmaraş earthquakes: Implications for disaster risk management
Ulusal Travma Ve Acil Cerrahi Dergisi = Turkish Journal of Trauma & Emergency Surgery · 2026-10 · Added 9 October 2026

A single-centre retrospective study of 37 earthquake victims in cardiac arrest after the 2023 Kahramanmaraş earthquakes found ROSC in 27% — exclusively in the 25 patients who received pre-hospital fluids (mean ~1.5 L) — with better pH, lactate, and potassium on arrival.

Study type

Cohort

Design

Single-centre retrospective cohort

Participants

37 adults in arrest within 24 hours of the earthquakes

Main finding

ROSC in 10/37 (27.0%), all of whom had received pre-hospital fluids (mean 1,540 ± 611 mL; p=0.010); fluid recipients had higher pH and lower lactate, potassium, and base excess on arrival

Caveat

Tiny retrospective sample with major confounding by indication — the sickest patients may simply not have received fluids, so causality cannot be inferred

Bottom line

Hypothesis-generating

Learning goal

Weigh the role of early fluid resuscitation in traumatic cardiac arrest from crush injury in disaster settings.

More

• Topic: Trauma
• Daily scan: 9 October 2026

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