Response to 'Pulseless electrical activity focused abdominal sonography for trauma, and cardiac contractile activity as predictors of survival after trauma'.

摘要

We read with interest the letter written in response to our article entitled "Pulseless electrical activity focused abdominal sonography for trauma, and cardiac contractile activity as predictors of survival after trauma."1 We agree that ultrasound will likely have an increased 'role in resuscitation after cardiac arrest for all causes. We also agree that the data to support the addition of ultrasound to trauma resuscitation protocols in the case of pulseless electrical activity (PEA) are lacking at this time and that producing adequately powered studies will be difficult. Similar to many centers, we continue to collect data and assess our performance in treating these often difficult patients. Ultrasound has the ability to potentially identify patients with a reasonable chance of survival and to potentially identify immediately correctable causes of PEA.