Survival rates for traumatic circulatory arrest (TCA) are historically low. Dr. David K. Tan explains why standard CPR compressions without fluid volume interventions are futile in these settings. The panel discusses strategies for increasing survivability, how EMS services can implement their own prehospital blood program in spite of limited financial resources, how and when to use ultrasound (POCUS) appropriately, how to apply pit-crew dynamics, how to decide between terminating or continuing resuscitation efforts, and how to address the psychological and emotional impact these calls can have on rescuers.

00:00 Introduction03:00 Prehospital Trauma Compendium: Prehospital Management of Traumatic Circulatory Arrest.05:50 How do medics feel about withholding compressions?10:17 HOTT to reversible causes.15:28 point of care ultrasound (POCUS).23:05 Team Dynamics: prehospital blood and rapid transport.29:40 Whole blood vs. component therapy.35:27 When to terminate resuscitation.42:40 Team well-being & psychological first aid.55:50 Conclusion

Recorded May 29, 2026.

Hosted by Dr. David K. Tan

Produced by David Dalton, MBA

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