Needle Thoracotomy in Trauma

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Western Trauma Association critical decisions in trauma: resuscitative thoracotomy.

BACKGROUND In the past three decades, there has been a significant clinical shift in the performance of resuscitative thoracotomy (RT), from a nearly obligatory procedure before declaring any trauma patient deceased to a more selective application of RT. We have sought to formulate an evidence-based guideline for the current indications for RT after injury in the patient. METHODS The Western ...

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Emergency thoracotomy for blunt thoracic trauma.

OBJECTIVES The indications for emergency thoracotomy are controversial for blunt trauma. The best results were seen in those patients who were stable enough to undergo thoracotomy in the operating theatre and survived the operation. METHODS The hospital records of 29 patients who underwent emergency thoracotomy for blunt thoracic trauma were reviewed. RESULTS Of 964 patients with thoracic t...

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[Thoracic trauma: analysis of 124 patients who underwent thoracotomy].

OBJECTIVE To analyze patients who underwent thoracotomy for the treatment of chest trauma in the City of Manaus. METHODS We performed a retrospective study through analyzed records in the two main reference hospitals for trauma adults in this city during a period of 5 years. We considered for this study the epidemiological data, causal agent, type of incision, anatomical classification score ...

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Cost-utility analysis of emergency department thoracotomy for trauma victims.

BACKGROUND Our objective was to assess the cost-effectiveness of emergency department thoracotomy (EDT) performed on both penetrating and blunt trauma victims, using both published survival and outcome data and previously unaccounted for data on the cost of occupational exposure. METHODS Cost-utility analysis was performed using decision-analytic models constructed for both penetrating and bl...

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[A life-saving approach after thoracic trauma: emergency room thoracotomy].

BACKGROUND In this article, the outcomes, indications and methods of emergency department service resuscitative thoracotomy in cardiac and/or respiratory arrest patients after thoracic trauma are discussed. METHODS Between January 2004 and December 2010, nine resuscitative thoracotomies were performed after thoracic trauma in the emergency department of our hospital. The records of the patien...

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ژورنال

عنوان ژورنال: Military Medicine

سال: 2015

ISSN: 0026-4075,1930-613X

DOI: 10.7205/milmed-d-14-00730