Resuscitative thoracotomy

Question 1

Indications for resuscitative thoracotomy ?

Answer 1

1-signs of life 15 min for penetrating /10 min for blunt trauma
2- signs of pericardial tamponade on bedside USS .

Question 2

Benefits of clam shell VS left lateral thoracotomy

Answer 2

1- better exposure of injuries
2- faster time to control injuries
3-left lateral can convert to clam shell if required .

Question 3

By doing resuscitative thoracotomy , what procedures can be done

Answer 3

1- drainage of tamponade
2-Internal cardiac message
3-closure of cardiac muscle injury
4- aortic cross clamp.

Question 4

Indications to terminate resuscitation (despite doing resuscitative thoracotomy )

Answer 4

1- asystole >20mintues in ED
2-other injuries incompatible with life
3-No other reversible causes
4- No signs of life