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Melanie Webster

As seen in: Archives of Disease in Childhood, Emergency Medicine Journal
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Articles by Melanie Webster

Epidemiology and aetiology of paediatric traumatic cardiac arrest in England and Wales

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By James Vassallo, Melanie Webster, Mark D Lyttle, Jason SMith, Jason Smith
| Archives of Disease in Childhood Verified
Epidemiology and aetiology of paediatric traumatic cardiac arrest in England and Wales James Vassallo1,2,3, Melanie Webster4, Edward B G Barnard3, Mark D Lyttle4,5, Jason E Smith3 On behalf of PERUKI (Paediatric Emergency Research in the UK and Ireland) 1 Division of Emergency Medicine, University of Cape Town, Cape Town, South Africa 2 Institute of Naval Medicine, Gosport, UK 3 Academic Department of Military Emergency Medicine, Royal Centre for Defence Medicine (Research & Academia),...
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Epidemiology and aetiology of paediatric traumatic cardiac arrest in England and Wales

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By James Vassallo, Melanie Webster, Mark D Lyttle, Jason SMith, Jason Smith
| Archives of Disease in Childhood Verified
Patients and setting All paediatric and adolescent patients with TCA recorded on the TARN database for a 10-year period (2006–2015). Results 21 710 paediatric patients were included in the database; 129 (0.6%) sustained TCA meeting study inclusion criteria. The majority, 103 (79.8%), had a prehospital TCA. 62.8% were male, with a median age of 11.7 (3.4–16.6) years, and a median ISS of 34 (25–45). 110 (85.3%) had blunt injuries, with road-traffic collision the most common mechanism (n=73, 56.6%).
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54 Paediatric traumatic cardiac arrest in England and Wales a 10 year epidemiological study

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By James Vassallo, Edward Barnard, Melanie Webster, Marisol Fragoso Iniguez
| Emergency Medicine Journal Verified
Introduction Traumatic cardiac arrest (TCA) has traditionally been described as futile, with poor outcomes. Reported survival rates vary widely, with higher rates observed from mechanisms leading to a respiratory cause of traumatic cardiac arrest (e.g., drowning and hanging). Currently there is little evidence regarding outcomes following TCA in children. The primary aim of our study was to describe 30?day survival following TCA.
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