Sorry about the minimal information I just didn't know how much pertinent information would be needed to get a response and I was trying to keep my opinions out. I know that trauma code ROSCs are slim to none. I have been on many and most are called on scene. This was a 20 y/o male who was unconscious with weak pulses prior our arrival. His facial bones were floating and had persistent blood draining into the airway (coming from the roof of his mouth ). There were no other signs of trauma to be noted. We do carry an AED. My partner and I were the first to that PT and I immediately started compressions as he cleared the airway. The Ambulance was pulling up as this process was initiated which is why I opted for their Lifepack instead of my AED. I continued continuous compressions and my partner continued constant suctioning (CCR protocol). The Medics applied the pads and saw PEA and I went back to compressions. The medic began to attempt IV access (Arrest protocol is IO). Meanwhile a flight crew arrives and asked to check the rhythm. The nurse took over the airway and dropped an OPA and attempted to bag. CPR was stopped for longer and longer periods until the PEA rhythm went to asystole. Epi was never given, advanced airways never considered, compressions were stopped for long periods and several strips were printed to get "timing" right.
Now I know that this pretty much a lost cause but... I was expecting work this kid hard and get at least a round of drugs in him, pump them around a bit, maybe even secure an airway and see what happens and then make a call. I would consider a reversible cause of hypoxia due to the blood blocking his airway. But once again there still was little to no chance but if there is any chance shouldn't we be giving our best effort to at least see if something changes that indicates he is part of the .03%?
- I by no means am saying that anyone was wrong or write but I fig I would just ask for other opinions to maybe see a different perspective.