Emergency thoracotomy and the military surgeon

Emergency thoracotomy might be necessary in battle surgery and might, in an era of superspecialization, be a challenge for the present day military surgeon. He or she might, nonetheless, be the only surgeon in the austere circumstances of a forward field surgical team. This paper provides assistance and guidelines for a military surgeon in such circumstances, including surgical indications and approaches, surgical procedures and techniques. It includes recent advances in this area and principles of 'damage control'.