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.
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DiBrito S, Haut ER. In Blunt Traumatic Cardiac Arrest, Does It Really Matter Who Performs Prehospital Advanced Life Support?. JAMA Surg. Published online April 25, 2018. doi:10.1001/jamasurg.2018.0675
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