Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Emergency department thoracotomy

P R Corsi1, P de A Prado, S Rasslan

  • 1Department of Surgery, Faculdade de Ciências Médicas da Santa Casa de São Paulo, Brazil.

Revista Paulista De Medicina
|November 1, 1993
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

The use of synthetic mesh in contaminated and infected abdominal wall repairs: challenging the dogma-A long-term prospective clinical trial.

Hernia : the journal of hernias and abdominal wall surgery·2019
Same author

Incisional Hernia: Difficult Cases 2.

Hernia : the journal of hernias and abdominal wall surgery·2015
Same author

Topic: Incisional Hernia - "Difficult case" as specialistic case: real loss of substance, multi recurrences, infections, fistulas, lombocel, burst abdomen, reconstruction of the entire wall.

Hernia : the journal of hernias and abdominal wall surgery·2015
Same author

Incisional Hernia: Complications & Quality of Life.

Hernia : the journal of hernias and abdominal wall surgery·2015
Same author

A retrospective review and observations over a 16-year clinical experience on the surgical treatment of chronic mesh infection. What about replacing a synthetic mesh on the infected surgical field?

Hernia : the journal of hernias and abdominal wall surgery·2014
Same author

Mesh cancer: long-term mesh infection leading to squamous-cell carcinoma of the abdominal wall.

Hernia : the journal of hernias and abdominal wall surgery·2013
Same journal

Myoclonic cerebellar dyssynergy; the purpose of a case.

Revista paulista de medicina·2010
Same journal

Radiological aspect of congenital bone syphilis.

Revista paulista de medicina·2010
Same journal

Innate syphilis and its treatment by pentavalent arsenic (stovarsol).

Revista paulista de medicina·2010
Same journal

Considerations regarding some cases of hydrocarbon pneumonia.

Revista paulista de medicina·2010
Same journal

Leishmania, in the face of penicillin, in vitro.

Revista paulista de medicina·2010
Same journal

About the pathogenesis of siringohydrocystoma.

Revista paulista de medicina·2010
See all related articles

Emergency department thoracotomy is a critical but controversial trauma surgery. Selective indication criteria improve patient outcomes, with survival rates varying based on injury and patient condition.

Area of Science:

  • Trauma Surgery
  • Emergency Medicine
  • Surgical Critical Care

Background:

  • Emergency department thoracotomy (EDT) is a debated resuscitative procedure in trauma care.
  • Historical overuse stemmed from unclear indications, leading to a need for critical re-evaluation.
  • Current practice emphasizes selective criteria to optimize patient outcomes.

Purpose of the Study:

  • To review the existing literature on emergency department thoracotomy in trauma patients.
  • To discuss the indications, technical aspects, complications, and clinical outcomes associated with EDT.
  • To provide a framework for a more rational and systematized approach to EDT.

Main Methods:

  • Comprehensive literature review of studies on emergency department thoracotomy.

Related Experiment Videos

  • Analysis of clinical outcomes in relation to injury mechanisms and patient admission status.
  • Classification of patient conditions (fatal, agonic, shock) based on vital signs.

    • Main Results:

    • Clinical outcomes are significantly influenced by the mechanism of injury and the patient's condition upon arrival.
    • Survival rates for emergency department thoracotomy range broadly from 0% to 40%.
    • Systematization of criteria for selective indication has refined the application of this procedure.

    Conclusions:

    • Emergency department thoracotomy remains a controversial procedure requiring careful patient selection.
    • A rational approach, guided by clear indications and patient status, is essential for improving survival.
    • Further critical evaluation and systematization of criteria are vital for the appropriate use of EDT in trauma resuscitation.