A HEMS team is managing a 28-year-old male with an isolated penetrating stab wound to the right ventricle who is in cardiac arrest. CPR has been in pr...

Question

A HEMS team is managing a 28-year-old male with an isolated penetrating stab wound to the right ventricle who is in cardiac arrest. CPR has been in progress for 4 minutes. Per current evidence, what is the single intervention most likely to achieve ROSC in this scenario?

Accepted Answer

Resuscitative thoracotomy with direct cardiac repair or at minimum pericardiotomy and open cardiac massage

Answer

Needle pericardiocentesis as the definitive intervention

Answer

Standard ALS with adrenaline and continued closed chest compressions

Answer

Bilateral thoracostomies to exclude tension pneumothorax

Answer

Administration of TXA 1 g and rapid fluid resuscitation

uk-dipimc MCQ (SBA): Penetrating Cardiac Arrest - Thoracotomy

A HEMS team is managing a 28-year-old male with an isolated penetrating stab wound to the right ventricle who is in cardiac arrest. CPR has been in progress for 4 minutes. Per current evidence, what is the single intervention most likely to achieve ROSC in this scenario?