The resuscitative thoracotomy (RT) is an important procedure in the management of penetrating trauma. As it is performed only in patients with peri-arrest physiology or overt cardiac arrest, survival is low. Experience is also quite variable depending on volume of penetrating trauma in a particular region. Survival ranges from 0% to as high as 89% depending on patient selection, available resources, and location of RT (operating or emergency rooms). In this article, published guidelines are reviewed as well as outcomes. Technical considerations of RT and well as proper training, personnel, and location are also discussed.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1007/s00268-014-2829-z | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Diving-related fatalities in Victoria, Australia, 2000 to 2022.
Diving Hyperb Med
March 2025
Australasian Diving Safety Foundation, Canterbury, Victoria, Australia.
Introduction: The aim was to examine the diving-related fatalities in Victoria, Australia from 2000 to 2022, identify trends and assess existing and potential countermeasures.
Methods: The National Coronial Information System and the Australasian Diving Safety Foundation (ADSF) database were searched to identify compressed gas diving and snorkelling/breath-hold diving deaths in Victoria for 2000-2022, inclusive. Data were extracted and analysed, and chain of events analyses conducted.
Competency-based vascular surgery training for austere conditions.
Surgery
March 2025
R Adams Cowley Shock Trauma Center, Baltimore, MD; Department of Surgery, University of Maryland School of Medicine, Baltimore, MD. Electronic address:
Prompt evaluation and management of penetrating vascular injuries are crucial responsibilities for surgical teams supporting military operations. Recommendations in this work are drawn from studies and experiences of veteran surgeons from the Global War on Terrorism and nongovernmental organizations like the Global Surgical and Medical Support Group, which operates in austere conditions during conflicts in Iraq and Ukraine. Modern warfare, since the Vietnam War, has fostered advancements in combat casualty care, including prehospital tourniquets, damage control resuscitation, arterial balloon occlusion, and improved diagnostic imaging, resulting in greater than 92% survival and reduced amputation rates.
View Article and Find Full Text PDFConstruction and preliminary trial test of a decision-making app for pre-hospital damage control resuscitation.
Chin J Traumatol
February 2025
State Key Laboratory of Trauma, Burn and Combined Injury, Department for Combat Casualty Care Training, Army Medical University, Chongqing, 400038, China.
Purpose: To construct a decision-making app for pre-hospital damage control resuscitation (PHDCR) for severely injured patients, and to make a preliminary trial test on the effectiveness and usability aspects of the constructed app.
Methods: Decision-making algorithms were first established by a thorough literature review, and were then used to be learned by computer with 3 kinds of text segmentation algorithms, i.e.
Successful management of a rare intraorbital wooden foreign body extending to the orbital apex in a paediatric patient.
BMJ Case Rep
March 2025
Ophthalmology, All India Institute of Medical Science, Bhopal, Madhya Pradesh, India.
Intraorbital foreign bodies (IOFBs) are a recognised complication of orbital trauma, but intraorbital wooden foreign bodies are rare and pose significant diagnostic and management challenges due to their radiolucency, high risk of infection and potential for severe inflammation. This case describes a rare presentation of a young boy who sustained orbital trauma after an 8-foot fall, resulting in a 5 cm × 3 cm wooden IOFB extending to the orbital apex with an associated sphenoid fracture. He presented with proptosis, an inferotemporal scleral indentation mimicking retinal detachment and a lateral infraorbital laceration.
View Article and Find Full Text PDFPediatric trauma and resuscitation: optimizing care in an evolving landscape.
Curr Opin Anaesthesiol
March 2025
Division of Pediatric Anesthesia, Department of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, Stanford, California, USA.
Purpose Of Review: Penetrating firearm-related injury has increased mortality rates in children in the USA. This article summarizes trends in pediatric injury patterns, the unique coagulation system of infants, and key components of hemostatic resuscitation in children.
Recent Findings: Firearm-associated penetrating trauma increased mortality and led to higher rates of pediatric massive transfusions.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!