[Skip to Content]
[Skip to Content Landing]
Views 230
Citations 0
Invited Commentary
April 25, 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. Published online April 25, 2018. 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. Fukada 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.

First Page Preview View Large
First page PDF preview
First page PDF preview
Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Limit 140 characters
Limit 3600 characters or approximately 600 words
    ×