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Cardiac Arrest
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13 minute station

Traumatic Cardiac Arrest Following Motorcycle Collision

Dispatch

Cat 1 — motorcyclist versus car at speed, rider unresponsive, bystanders state no pulse felt.

On arrival

Rider lying in the road, helmet removed by bystanders, obvious chest deformity, no signs of life, monitor attached.

Initial observations

Rhythm
On the monitor — interpret the strip below
Airway
Managed with supraglottic device
Chest
Flail segment, reduced air entry bilaterally
EtCO2
1.5 kPa
Pulse
Absent
Obvious injuries
Open femur fracture, chest wall deformity

Monitor, lead II — rhythm check on arrival

II · 25 mm/s · 10 mm/mV

Interpret the trace yourself — the mark sheet expects your rate, rhythm, axis and ST analysis, not a written finding.