Emergency thoracotomy saves lives in a Scandinavian hospital setting

The Journal of Trauma
Andreas Saxlund PahleJohan Pillgram-Larsen

Abstract

: Emergency thoracotomy (ET) is a life-saving procedure used to control hemorrhage and relieve cardiac tamponade. It has been in routine use at Ulleval University Hospital since 1987. Our objective was to see the outcome of patients subjected to ET in recent times. : One hundred and nine consecutive ET performed in our emergency department during a 6-year period were analyzed. Data were drawn from the hospital's trauma registry. Demographics, mechanism of injury, anatomic injuries, physiologic status, interventions, time lapse, and outcome 30 days after injury were registered prospectively. : Ten of 27 patients with penetrating (37%) and 10 of 82 patients with blunt injuries (12%) survived, giving a total survival of 18%. Median (quartiles) for the following parameters were Injury Severity Score 38 (26-50), Revised Trauma Score 1.3 (0-3.9), Glasgow Coma Scale score 3 (3-6), and probability of survival 0.06 (0.001-0.22). Survivors from penetrating injuries had significantly lower Injury Severity Score (25 vs. 34, p = 0.003), higher Revised Trauma Score (3.92 vs. 0.00, p < 0.001), higher Glasgow Coma Scale score (8 vs. 3, p < 0.001), and higher probability of survival (0.74 vs. 0.01, p < 0.001) than nonsurvivors. Conversely, no s...Continue Reading

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Citations

Jan 1, 2013·Interactive Cardiovascular and Thoracic Surgery·Maziar KhorsandiRajesh Shah
May 30, 2012·World Journal of Emergency Surgery : WJES·Mari-Liis Kaljusto, Theis Tønnessen
Sep 24, 2013·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Sigrid GrovenChristine Gaarder
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Jul 16, 2010·Emergency Medicine Australasia : EMA·Mark FitzgeraldAmit Maini
Aug 19, 2015·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·J K NarvestadK Søreide
Jun 3, 2015·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Mari-Liis KaljustoTheis Tønnessen
Oct 25, 2014·World Journal of Surgery·Lindsay M FairfaxIan D Civil
Dec 6, 2014·Interactive Cardiovascular and Thoracic Surgery·Henri de LesquenXavier-Benoît D'Journo
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Sep 15, 2019·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Stefan Schulz-DrostUNKNOWN TraumaRegister DGU
Jul 2, 2015·Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række·Henrik AamodtNils Oddvar Skaga
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Jun 2, 2018·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Ryo YamamotoJunichi Sasaki

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