CME Course

Assessment of the Need for Immediate Trauma Team Presence for Infants Presenting in Cardiac Arrest

This case series will profile the etiology of infants presenting in cardiac arrest and to assess the value of including trauma team members as part of the initial resuscitation team treating this population.

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Target Audience

Southern Medical Journal (SMJ) is an interdisciplinary, multi-specialty Journal, and articles span the spectrum of medical topics, providing timely, up-to-date information for primary care physicians and specialists alike. The SMJ enables physicians to provide the best possible care to patients in this age of rapidly changing modern medicine.  Therefore, the readers of the SMJ are an appropriate target for this article.

Goals and Objectives

Out-of-hospital cardiac arrest (OHCA) is rare in infants, with the cause of arrest often unknown upon presentation. Nonaccidental trauma is a potential etiology of OHCA among infants, but its occult presentation makes this etiology challenging to diagnose. In the absence of apparent injuries, identifying the need for trauma team activation is difficult during the initial resuscitation of infants with OHCA. In the absence of apparent injuries, identifying the need for trauma team activation is difficult during the initial resuscitation of infants with OHCA. The purpose of this case series was to profile the etiology of infants presenting in cardiac arrest and to assess the value of including trauma team members as part of the initial resuscitation team treating this population. At the conclusion of the session, learners should be better prepared to:

  • Recognize out of hospital cardiac arrest involving infants is rare and usually associated with an acutely fatal outcome;
  • Identify suffocation related to unsafe sleeping practices as the most common cause of out of hospital cardiac arrest involving infants (and that educating and encouraging caregivers to follow established safe sleeping practices will prevent such deaths);
  • Recognize non-accidental trauma as a rare cause of out of hospital cardiac arrest in infants;
  • Discuss the importance of focusing advanced life support efforts on non-surgical resuscitation interventions to restore spontaneous circulation unless serious trauma is strongly suggested by history, exam or diagnostic testing during pre-hospital and ED resuscitation efforts. [Trauma team activation is unlikely to be beneficial unless pre-hospital or ED evaluation identifies an injury event (ie car accident) or injury-related condition (i.e. bruises, wounds, fracture, CNS bleed, etc.).

Course Information

CME Release Date: February 4, 2020
Valid for credit through: February 4, 2021
Course type: CME Journal Article
Estimated time of completion: 1 hour

Credits Available

Southern Medical Association is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Southern Medical Association designates this Journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

AAPA: AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of .50 hours of Category I credit for completing this activity.

AANPCP: The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts AMA PRA Category 1 Credit™ from organizations accredited by the ACCME.

Healthcare Professionals
For information on applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board.  All healthcare professionals who are not MDs or DOs will receive a certificate of participation.

Instructions for Participation and Credit

This activity is designed to be completed within the time designated; learners should claim only those credits that reflect the time actually spent in the activity. To successfully earn credit, participants must complete the activity online during the valid credit period noted, following these steps:

  • Read the goals and objectives, accreditation information, and author disclosures.
  • Login in below to access the article in order to study the educational content and references.
  • Review the clinical scenario provided within the course
  • Complete the post-test by choose the best answer to each test question. To receive a certificate, you must receive a passing score of 80%.
  • Complete the activity evaluation and attestation.

Upon successful completion of the test, evaluation and attestation, your certificate will be processed and emailed from customerservice@sma.org within approximately 1 hour. Credits will be archived for 6 years; at any point within this time period you may login to your account to print a duplicate copy of your certificate.

Disclosure of Relevant Financial Relationships

As an organization accredited by the ACCME, Southern Medical Association requires everyone who is in a position to control the content of an education activity to disclose all relevant financial relationships with any commercial interest. The ACCME defines "relevant financial relationships" as financial relationships in any amount, occurring within the past 12 months, including financial relationships of a spouse or life partner that could create a conflict of interest.

Southern Medical Association encourages Speakers/Authors to identify investigational products or off-label uses of products regulated by the US Food and Drug Administration, at first mention and where appropriate in the content.

The following individuals, unless otherwise notedhave no relevant financial relationships to disclose.

Manuscript Author(s):
Emily C. Alberto, MD
Lauren J. Waterhouse, BS
Jennifer L. Fritzeen, MSN, RN
Constance R. DiAngelo, MD
Victoria H. Scheidt
Randall S. Burd, MD, PhD

SMJ Editor-in-Chief:
Steven T. Baldwin, MD

Southern Medical Association/Southern Medical Journal Editorial Staff:
Jennifer S. Price, MA, Managing Editor
Anita McCabe, Copyeditor

Course Materials

This content is limited to qualifying members.

Existing members, please login first.

If you have an existing account please login now to access this course or view your purchase options.

Purchase this course now ($10)

Create a free account, then purchase purchase access to this course.

Purchase a membership plan (fees vary)

Premium members can access all courses plus recieve many more benefits. View all membership plans and benefit packages.