A successful emergency thoracotomy performed in the field

被引：22

作者：

Corral, Ervigio ^{[1
]}

Silva, Jacobo ^{[2
]}

Suarez, Rosa M. ^{[3
]}

Nunez, Jose ^{[4
]}

Cuesta, Ceferina ^{[5
]}

机构：

[1] Emergency & Med Rescue Serv Madrid SAMUR PROTECC, Madrid 28011, Spain

[2] Univ Teaching Hosp Madrid San Carlos, Madrid, Spain

[3] SAMUR Protecc Civil, Madrid, Spain

[4] Univ Complutense Madrid, E-28040 Madrid, Spain

[5] SAMUR PC, Madrid, Spain

来源：

RESUSCITATION | 2007年 / 75卷 / 03期

关键词：

emergency thoracotomy; prehospital emergency service; pericardial tamponade; internal cardiac massage; open chest trauma; open chest CPR;

D O I：

10.1016/j.resuscitation.2007.06.025

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

An emergency thoracotomy (ET) is a surgical procedure rarely practiced outside a hospital. However, it can be the only way to resuscitate a patient who has suffered cardiac arrest due to penetrating chest trauma. SAMUR-Proteccion Civil is a two-tier Emergency Medical Service of Madrid, with Advance Life Support teams led by Emergency Physicians, Emergency Nurses and Paramedics. Over the last 3 years, medical teams from SAMUR have performed ET in six cases, after a short period of cardiac arrest, restoring cardiac output in two cases, and one patient with a normal neurological outcome. The following SAMUR protocol describes these emergency situations and details the case of the patient who was treated and discharged from hospital without any repercussions. (C) 2007 Elsevier Ireland Ltd. All rights reserved.

引用

页码：530 / 533

页数：4

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