PMID: 8977847Sep 1, 1996Paper

Survival following pre-hospital arrest with on-scene thoracotomy for a stabbed heart

Injury
S Keogh, A W Wilson

Abstract

A 34-year-old man was stabbed in the heart with the loss of all signs of life at the site of the incident. A resuscitative thoracotomy was performed at the roadside rather than transport a lifeless patient to hospital. Thoracotomy revealed asystole, pericardial tamponade and a right ventricular stab wound. Following further roadside resuscitation and subsequent air transport, and 30 min after loss of signs of life the patient was defibrillated in hospital and regained sinus rhythm. He recovered and was discharged at 25 days with normal neurology and mentation. Pre-hospital thoracotomy on a patient who had lost signs of life following a penetrating chest wound is an alternative to a "scoop and run' policy.

References

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Citations

Nov 18, 2008·Annales Françaises D'anesthèsie Et De Rèanimation·M BenkhadraM Freysz
Jun 1, 2014·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·A Chalkias, T Xanthos
Dec 6, 2011·The British Journal of Surgery·T LustenbergerM J B Keel
Apr 28, 2007·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·K SøreideJ A Asensio
Nov 3, 2012·The Journal of Trauma and Acute Care Surgery·Andrew T Robertson, Chris J K Bulstrode
Mar 23, 2018·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Edward J NevinsNikhil Misra

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