Alqudah Z, Nehme Z, Williams B, et al. - Researchers here examined how a trauma-focused resuscitation protocol affects survival outcomes following adult traumatic out-of-hospital cardiac arrest (OHCA). Adult traumatic OHCA patients aged >16 years occurring between 2008 and 2019 were included. For traumatic OHCA, a new resuscitation protocol was introduced in December 2016, prioritizing the treatment of potentially reversible causes prior to conventional cardiopulmonary resuscitation (CPR). Adjusted interrupted time series regression was used to determine the effect of the new protocol on survival outcomes. Resuscitation was attempted by paramedics on 996 patients out of 3,958 attended cases during the study period. Findings did not reveal a survival benefit from a trauma-focused resuscitation protocol over initial conventional CPR despite an increase in trauma-based interventions and a decrease in the time to their administration. However, both approaches were linked with low survival.