A case of traumatic cardiopulmonary arrest with good neurological outcome predicted by amplitude-integrated electroencephalogram

Highlights • Traumatic cardiopulmonary arrest requires unique therapeutic approaches, although angiography and percutaneous coronary intervention are often required in other forms of arythmogenic cardiopulmonary arrest. • Amplitude-integrated electroencephalogram was useful for traumatic cardiopulmonary arrest to predict the neurological outcome in the early stage of clinical course. • Amplitude-integrated electroencephalogram may help clinicians to start invasive and intensive treatments in a case of traumatic cardiopulmonary arrest.
Introduction Traumatic cardiopulmonary arrest has a very high mortality, and survival of patients with this condition without neurological disability is rare. Presentation of case We herein report a case of traumatic cardiopulmonary arrest secondary to accidental amputation of the left lower leg that was successfully treated without any higher brain dysfunction. Although the long duration of cardiopulmonary arrest in this patient suggested hypoxic ischemic encephalopathy, amplitude-integrated electroencephalogram showed normal findings. Discussion This system may help intensivists evaluate the neurological conditions of patients with suspected hypoxic ischemic encephalopathy in the early stage of the clinical course and may assist in guiding therapeutic interventions. Conclusion Our case supports the usefulness of neurological monitoring using amplitude-integrated electroencephalogram.