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Invited Commentary
June 20, 2018

In Blunt Traumatic Cardiac Arrest, Does It Really Matter Who Performs Prehospital Advanced Life Support?

Author Affiliations
  • 1Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland
  • 2Departments of Anesthesiology & Critical Care Medicine and Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland
  • 3Armstrong Institute for Patient Safety and Quality, Johns Hopkins Medicine, Baltimore, Maryland
  • 4Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
JAMA Surg. 2018;153(6):e180675. doi:10.1001/jamasurg.2018.0675

Cardiac arrest following blunt trauma has dismal outcomes and optimal prehospital management provides the only chance of survival.1 Debate continues regarding who should treat patients with severe injuries in the prehospital setting; in some countries, physicians routinely provide care in the field, while in others (ie, the United States), this is nearly unheard of. Fukuda et al2 examine the relationship between advanced life support (ALS) clinician type and outcomes following blunt traumatic cardiac arrest in Japan. This is an interesting study; however, there are limitations to consider.

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