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- Mark J Seamon, John Chovanes, Nicole Fox, Raymond Green, George Manis, George Tsiotsias, Melissa Warta, and Steven E Ross.
- Division of Trauma and Surgical Critical Care, Department of Surgery, Cooper University Hospital, Camden, NJ 08103 , USA. Seamon-mark@cooperhealth.edu
- Injury. 2012 Sep 1;43(9):1355-61.
AbstractDespite the establishment of evidence-based guidelines for the resuscitation of critically injured patients who have sustained cardiopulmonary arrest, rapid decisions regarding patient salvageability in these situations remain difficult even for experienced physicians. Regardless, survival is limited after traumatic cardiopulmonary arrest. One applicable, well-described resuscitative technique is the emergency department thoracotomy-a procedure that, when applied correctly, is effective in saving small but significant numbers of critically injured patients. By understanding the indications, technical details, and predictors of survival along with the inherent risks and costs of emergency department thoracotomy, the physician is better equipped to make rapid futile versus salvageable decisions for this most severely injured subset of patients.Copyright © 2012 Elsevier Ltd. All rights reserved.
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