I didn't think you were being smart.I'm sorry I came across that way. In no way was it my intention to disrespect your very well written and knowledgeable response. (no excuse, but I'm going on three long nights and an 8 day old daughter when I'm at home, sleepless week)
I guess where this all stemmed from was a conversation I had with a partner on the walk to the office the other day. After a white cloud week, which seemed to go by very, very slow, I mentioned that a good trauma call would sure make the time go by faster. He one upped me by saying a trauma code would as well. Next thing you know we've got 3 people saying they're putting an AED on a trauma code, and 2 (including one supervisor) saying no way, no how. Protocol says no AED for trauma. I'm new to the company, so I'm still feeling some of the people out and honestly am on the fence regarding what I feel the correct treatment would be and what my Supervisor the company wants us to do.
Again, I apologize for my quick, smart-assed reply. The protocols don't mention any different options, other than do nor use an AED on a trauma patient.
I thought you were not getting that there is basically only two causes of traumatic arrest where defib will help.
That pathology is so rare, it is only worth consideration if somebody takes a direct blow to the chest at considerable velocity or mass or the patient did not have an airway. (if they arrested from lack of airway, the prognosis is rather questionable)
If you think the patient is worth trying to save, you do it by getting to the trauma center without delay for anything else.
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