The use of emergency department thoracotomy for traumatic cardiopulmonary arrest

Abstract Despite the establishment of evidence-based guidelines for the resuscitation of critically injured patients who have sustained cardiopulmonary arrest, rapid decisions regarding patient salvageability in these situations remain difficult even for experienced physicians. Regardless, survival...

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Bibliographic Details
Published inInjury Vol. 43; no. 9; pp. 1355 - 1361
Main Authors Seamon, Mark J, Chovanes, John, Fox, Nicole, Green, Raymond, Manis, George, Tsiotsias, George, Warta, Melissa, Ross, Steven E
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Ltd 01.09.2012
Subjects
Adolescent
Adult
Cardiopulmonary arrest
Cardiopulmonary resuscitation
Cardiopulmonary Resuscitation - methods
Cardiopulmonary Resuscitation - statistics & numerical data
Child
Child, Preschool
Emergency department thoracotomy
Emergency Medical Services
Female
Heart Arrest - etiology
Heart Arrest - surgery
Humans
Infant
Male
Orthopedics
Practice Guidelines as Topic
Resuscitative thoracotomy
Thoracotomy - methods
Thoracotomy - statistics & numerical data
Traumatic arrest
United States - epidemiology
Wounds, Nonpenetrating - complications
Wounds, Nonpenetrating - surgery
Wounds, Penetrating - complications
Wounds, Penetrating - surgery
Young Adult
United States
Resuscitative thoracotomy
Traumatic arrest
Emergency department thoracotomy
Cardiopulmonary arrest
Cardiopulmonary resuscitation
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Summary:Abstract Despite the establishment of evidence-based guidelines for the resuscitation of critically injured patients who have sustained cardiopulmonary arrest, rapid decisions regarding patient salvageability in these situations remain difficult even for experienced physicians. Regardless, survival is limited after traumatic cardiopulmonary arrest. One applicable, well-described resuscitative technique is the emergency department thoracotomy—a procedure that, when applied correctly, is effective in saving small but significant numbers of critically injured patients. By understanding the indications, technical details, and predictors of survival along with the inherent risks and costs of emergency department thoracotomy, the physician is better equipped to make rapid futile versus salvageable decisions for this most severely injured subset of patients.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
content type line 23
ObjectType-Review-1
ISSN:0020-1383
1879-0267
DOI:10.1016/j.injury.2012.04.011