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- Title
Emergency Resuscitative Thoracotomy in the Combat or Operational Environment.
- Authors
Monchal, Tristan; Martin, Matthew J; Antevil, Jared L; Bennett, Donald R; DeVries, William C; Zakaluzny, Scott; Ricca, Robert L; Tien, Homer; Mullenix, Philip S; Stockinger, Zsolt T
- Abstract
Resuscitative thoracotomy has been extensively described in the civilian trauma literature and has a high mortality rate, due largely to the nature of the injuries leading to arrest. The survival rates are generally highest (10-30%) for penetrating truncal injuries and patients who arrive with vital signs and proceed to arrest or who have impending arrest. They are significantly lower (less than 5%) for blunt trauma victims, particularly those who arrest in the field or during transport (1% or less). In addition, the likelihood of survival with intact neurologic function is significantly lower than the overall survival rates, particularly for blunt trauma victims and for prehospital arrest.
- Subjects
RESUSCITATION; THORACOTOMY; BLUNT trauma; EXSANGUINATION; WAR wounds
- Publication
Military Medicine, 2018, Vol 183, p92
- ISSN
0026-4075
- Publication type
journal article
- DOI
10.1093/milmed/usy117