Should trauma be considered as a potential cause of pulseless arrest in pediatric patients?

• A. Yes; trauma should be considered and evaluated for reversible injuries
• B. No; trauma is never a cause in pediatrics
• C. Only in cases of blunt trauma
• D. Only if there is known head injury

Answer: (A)

In pediatric resuscitation, consider trauma as a potential, reversible cause of pulseless arrest. Trauma can lead to arrest through several mechanisms that are treatable: significant hemorrhage causing hypovolemia, airway compromise from facial or neck injuries, chest injuries leading to tension pneumothorax or cardiac tamponade, and even spinal injuries that impair respiratory effort. Because these injuries are potentially reversible, rapid identification and targeted interventions—such as controlling bleeding, securing the airway with spine protection, decompressing a suspected tension pneumothorax, or addressing tamponade if indicated—can meaningfully improve outcomes. Trauma doesn’t apply only to blunt injuries or only when there’s head injury; penetrating injuries and any mechanism that could cause injury should prompt an evaluation for reversible causes during arrest. Therefore, the best approach is to keep trauma in mind as a possible cause and actively address any reversible injuries during resuscitation.