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Emergency center thoracotomy: impact of prehospital resuscitation. J Trauma 1992 Jun;32(6):775-9

Date

06/11/1992

Pubmed ID

1613838

DOI

10.1097/00005373-199206000-00019

Scopus ID

2-s2.0-0026721418 (requires institutional sign-in at Scopus site)   184 Citations

Abstract

Emergency center thoracotomy was performed at our facility on 389 patients from 1984 through 1989. There were no patients excluded from the study, and survival for all patients was 8.3% with survival rates of 15.2% and 7.3% for stab and gunshot wounds, respectively. Emergency center thoracotomy was performed on 42 patients suffering from isolated extrathoracic injuries with 7% survival. There were no survivors of blunt trauma in this study. Fifty-three percent of the patients arrived with cardiopulmonary resuscitation (CPR) in progress. The average time of prehospital CPR for survivors was 5.1 minutes compared with 9.1 minutes for nonsurvivors. Of the survivors, prehospital endotracheal intubation prolonged successful toleration of CPR to 9.4 minutes compared with 4.2 minutes for nonintubated surviving patients (p less than 0.001). Emergency center thoracotomy is useful in the resuscitation of victims dying of penetrating truncal trauma. Prehospital endotracheal intubation significantly lengthened the time of successful CPR.

Author List

Durham LA 3rd, Richardson RJ, Wall MJ Jr, Pepe PE, Mattox KL

Author

Lucian A. Durham MD, PhD Associate Professor in the Surgery department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adolescent
Adult
Aged
Aged, 80 and over
Cardiopulmonary Resuscitation
Child
Child, Preschool
Emergency Medical Services
Female
Heart Injuries
Hospital Mortality
Hospitals, Urban
Humans
Intubation, Intratracheal
Male
Middle Aged
Multiple Trauma
Prognosis
Survival Rate
Texas
Thoracotomy
Time Factors
Trauma Centers
Treatment Outcome