The use of emergency department thoracotomy for traumatic cardiopulmonary arrest
2012; Elsevier BV; Volume: 43; Issue: 9 Linguagem: Inglês
10.1016/j.injury.2012.04.011
ISSN1879-0267
AutoresMark J. Seamon, John Chovanes, Nicole Fox, Raymond Green, George Manis, George Tsiotsias, Melissa Warta, Steven E. Ross,
Tópico(s)Trauma and Emergency Care Studies
ResumoDespite 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.
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