Surgery: Current Research

ISSN - 2161-1076


CPR on Admission in Severely Injured Patients- is it a Prognostic Factor for Evaluation of Traumatic Patients?

Faruquzzaman, Mazumder SK and Rahman MM

In the medical practice, the different scenarios in which cardio-respiratory resuscitation (CPR) may be applied must be taken into account. It is also critical in hospitalized patients with potentially reversible diseases, who suffer cardiac arrest as an unexpected event during their evolution. In this study, it has been found that necessity of CPR on admission reflects the worst prognosis for a traumatic patient, as it has been observed that the mortality rate is indeed hundred percent within the first 72 hours of admission. So, necessity of CPR on arrival could be a good prognostic factor in clinical practice when handling the severely injured patients. This study was conducted with a view to assess the role of CPR as a prognostic factor for the traumatic emergency patients admitted in the hospital at an emergency basis. In this study, it has been observed that on admission, 21 patients out of total 822 patients required immediate resuscitation with CPR and all of them ultimately died within 72 hours after arrival in course of the treatment. This study suggests that 11 patients (52.4%) died within first 6 hours of admission, 9 (42.9%) patients died with 6- 24 hours and 1 patient (4.8%) died within 24-72 hours. 12 out of 21 patients were admitted with arterial blood pressure of 0/0 mmHg together with non-recordable pulse and all were dead within the first 6 hours of arrival.