Emergency department resuscitative thoracotomy for nontorso injuries

Surgery
Forest R SheppardJon M Burch

Abstract

Resuscitative thoracotomy performed in the emergency department (EDT) continues to have clear indications in patients sustaining trauma to the torso, particularly penetrating injuries. However, adjunctive use of aortic cross-clamping during EDT for hemorrhagic shock also may be useful in the acute resuscitation of patient with nontorso injuries (NTI). We questioned the utility of EDT in patients with nontorso trauma. Patients undergoing EDT have been prospectively followed since 1977 at our regional level I trauma center. During the 26-year study period, 959 patients underwent EDT; 27 (3%) of these patients underwent EDT for penetrating NTI. Three (11%) of these patients survived to leave the hospital, with only 1 patient sustaining mild neurologic deficit. The mechanism of injury in the survivors was stab wound to the neck (1), gunshot wound to the neck (1), and extremity vascular injury (1). All survivors of EDT for NTI underwent prehospital cardiopulmonary resuscitation and successful endotracheal intubation in the field. There were no survivors of EDT for penetrating injury to the head. Resuscitative EDT with aortic cross-clamping is a potential adjunct in the acute resuscitation of NTI involving penetrating neck or extremi...Continue Reading

References

Aug 1, 1976·The Journal of Trauma·A M LedgerwoodC E Lucas
Oct 1, 1989·The Journal of Trauma·G K LunaC L Rice
Sep 1, 1993·The Journal of Trauma·A S RosemurgyM H Albrink
Mar 22, 2003·Journal of the American College of Surgeons·Laura R HopsonUNKNOWN American College of Surgeons Committee on Trauma
Feb 5, 2004·Journal of the American College of Surgeons·Zsolt T Stockinger, Norman E McSwain

❮ Previous
Next ❯

Citations

Jan 13, 2009·Injury·L M G GeeraedtsJ P M Frölke
Aug 24, 2010·Journal of the American College of Surgeons·Beat SchnürigerDemetrios Demetriades
Apr 25, 2015·The Journal of Trauma and Acute Care Surgery·Walter L BifflErnest E Moore
Apr 25, 2016·Journal of the American College of Surgeons·Hunter B MooreAngela Sauaia
Apr 17, 2014·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·R Rabinovici, N Bugaev
Nov 5, 2011·Journal of the Royal Army Medical Corps·D M BowleyN R M Tai
Feb 23, 2010·The Journal of Trauma·Lars Widdel, Ken R Winston
Nov 29, 2012·The Journal of Trauma and Acute Care Surgery·Clay Cothren BurlewWalter L Biffl
Jul 17, 2018·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Edward John NevinsNikhil Misra
Oct 6, 2018·Military Medical Research·Zhao-Wen ZongUNKNOWN Representing the Traumatology Branch of the China Medical Rescue Association, the Youth Committee on Traumatology Branch of
Oct 9, 2014·Revista do Colégio Brasileiro de Cirurgiões·Marcelo Beck GuimarãesRicardo Breigeiron
Apr 28, 2007·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·K SøreideJ A Asensio
Sep 18, 2021·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Christopher SimpsonAnthony Hudson

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.