Life-saving or life-threatening? Prehospital thoracostomy for thoracic trauma
نویسندگان
چکیده
منابع مشابه
Life-saving or life-threatening? Prehospital thoracostomy for thoracic trauma.
A bus was involved in a roll-over road traffic accident. Most occupants were ejected from the vehicle. Primary triage revealed 9 dead, 1 P4 (unsalvageable), 5 P1 (immediate life threat) and 30 less severely injured patients. Two prehospital doctors performed a secondary triage, provided medical supervision and performed critical care interventions where necessary. A young man initially triaged ...
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Tracheal intubation (TI) is a routine procedure in the intensive care unit (ICU), and is often life saving. However, life-threatening complications occur in a significant proportion of procedures, making TI perhaps one the most common but underappreciated airway emergencies in the ICU. In contrast to the controlled conditions in the operating room (OR), the unstable physiologic state of critica...
متن کامل[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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BACKGROUND The use of prehospital chest tube thoracostomy (TT) remains controversial because of presumed increased complication risks. This study analyzed infectious complication rates for physician-performed prehospital and emergency department (ED) TT. METHODS Over a 40-month period, all consecutive trauma patients with TT performed by the flight physician at the accident scene were compare...
متن کاملPrehospital autotransfusion in life-threatening hemothorax.
Eighteen patients with life-threatening traumatic hemothorax received prehospital autotransfusion using a simple new device. During transfer to the hospital, they received 3.9 +/- 0.5 L of colloid fluid and 4.1 +/- 0.6 L of autotransfused blood, without anticoagulation. Hemorrhagic blood was not coagulable, had a hematocrit of 20 +/- 4 percent, few platelets, and low fibrinogen levels. Five pat...
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ژورنال
عنوان ژورنال: Emergency Medicine Journal
سال: 2007
ISSN: 1472-0205,1472-0213
DOI: 10.1136/emj.2006.044768