Skip to main content
SpringerLink
Log in
Book cover

The Trauma Golden Hour pp 45–47Cite as

Resuscitative Thoracotomy in Emergency Department

  • Chapter
  • First Online:

  • 1068 Accesses

Abstract

The main objectives of emergency department thoracotomy (EDT) are to avoid the cardiovascular collapse from mechanical sources or extreme hypovolemia, in patients in extremis. The indication is to perform in patients presenting pulseless with signs of life, pulseless electrical activity (PEA), sudden cardiac arrest (SCA), or imminence of SCA (profound refractory shock). It must be remembered to avoid in patients with isolated cranial injuries. The best timing of closed-chest CPR plausible to start the thoracotomy is 15 minutes for penetrating traumas and 10 minutes for blunt traumas.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Seamon MJ, Haut ER, Van Arendonk K, Barbosa RR, Chiu WC, Dente CJ, et al. An evidence-based approach to patient selection for emergency department thoracotomy: a practice management guideline from the Eastern Association for the Surgery of Trauma. J Trauma Acute Care Surg. 2015;79(1):159–73.

    Article  Google Scholar 

  2. American College of Surgeons. Advanced Trauma Life Support® (ATLS®): the tenth edition. Chicago, IL: American College of Surgeons (ACS), Committee on Trauma (COT); 2018. 377 p.

    Google Scholar 

  3. Mattox K, Moore EE, Feliciano D V. Trauma. 8th ed. New York: McGraw-Hill; 2017.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. University of Miami, Ryder Trauma Center, Miami, FL, USA

    Mariana F. Jucá Moscardi

  2. Iwan Collaço Trauma Research Group, Hospital do Trabalhador Trauma Center, Federal University of Parana, Curitiba, Brazil

    Luis Fernando Spagnuolo Brunello

  3. Department of Surgery, Iwan Collaço Trauma Research Group, Hospital do Trabalhador Trauma Center, Federal University of Parana, Curitiba, Brazil

    Flavio Saavedra Tomasich

  4. Division of Trauma and Surgical Critical Care, The DeWitt Daughtry Family Department of Surgery, Ryder Trauma Center/Jackson Memorial Hospital, Miller School of Medicine, University of Miami, Miami, FL, USA

    Gerrard Daniel Pust

Authors
  1. Mariana F. Jucá Moscardi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Luis Fernando Spagnuolo Brunello
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Flavio Saavedra Tomasich
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Gerrard Daniel Pust
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Federal University of Paraná, Curitiba, Paraná, Brazil

    Adonis Nasr

  2. Federal University of Paraná, Curitiba, Paraná, Brazil

    Flavio Saavedra Tomasich

  3. Federal University of Paraná, Curitiba, Paraná, Brazil

    Iwan Collaço

  4. Federal University of Parana, Hospital do Trabalhador, Curitiba, Paraná, Brazil

    Phillipe Abreu

  5. Ryder Trauma Center, Jackson Memorial Hospital, University of Miami, Miami, FL, USA

    Nicholas Namias

  6. Ryder Trauma Center, Jackson Memorial Hospital, University of Miami, Miami, FL, USA

    Antonio Marttos

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Jucá Moscardi, M.F., Brunello, L.F.S., Saavedra Tomasich, F., Pust, G.D. (2020). Resuscitative Thoracotomy in Emergency Department. In: Nasr, A., Saavedra Tomasich, F., Collaço, I., Abreu, P., Namias, N., Marttos, A. (eds) The Trauma Golden Hour. Springer, Cham. https://doi.org/10.1007/978-3-030-26443-7_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-26443-7_9

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-26442-0

  • Online ISBN: 978-3-030-26443-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation