What information can we use to help determine futility in paediatric patients presenting in traumatic cardiac arrest?

Scenario A 2-year-old child presents to the emergency department (ED) after running into traffic. He chased a ball into the road and was struck by a car. An ambulance is dispatched to transport him to hospital, but he arrests en route. By the time he reaches your facility, he has been without a pulse for 10 min. He is in cardiac arrest. There is an endotracheal (ET) tube in situ and bilateral finger thoracostomies have been performed. The paramedics placed a pelvic binder prior to transportation. Tibial intraosseous (IO) access has been obtained and he is receiving 10 mL/kg of balanced crystalloid. No pre-hospital blood products were available. A Code Red was put out prior to his arrival. On examination, you are informed that both of his pupils are fixed and dilated. He has not received any other interventions. Structured clinical question In a paediatric patient...
Source: Archives of Disease in Childhood - Category: Pediatrics Authors: Tags: ADC Archimedes Source Type: research