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Emergency Department Thoracotomy

Selected studies of emergency department thoracotomy or cardiac trauma


1. Asensio JA, Berne JD, Demetriades D et al. 'One hundred five penetrating cardiac injuries: A 2-year prospective evaluation'. J Trauma 1998;44:1073-108

Emergency Thoracotomy

Operative technique


2. Karmy-Jones R, Jurkovich GJ, Nathens AB et al. 'Timing of Urgent Thoracotomy for Hemorrhage After Trauma: A Multicenter Study.' Arch Surg 2001;136:513-518

3. Tyburski JG, Astra L, Wilson RF et al. 'Factors affecting prognosis with penetrating wounds of the heart'. J Trauma 2000;48:587-590

4. Rhee PM, Acosta J, Bridgeman A et al. 'Survival after emergency department thoracotomy: review of published data from the past 25 years.' J Am Coll Surg 2000;190:288-298

5. Branney SW, Moore EE, Feldhaus KM et al. ' Critical analysis of two decades of experience with postinjury emergency department thoracotomy in a regional trauma center'. J Trauma 1998;45:87-95

6. Campbell NC, Thomson SR, Muckart DJJ.' Review of 1198 cases of penetrating cardiac trauma'. Br J Surg 1997;84:1737-1740

7. Brown SE, Gomez GA, Jacobson LE et al. 'Penetrating chest trauma: should indications for emergency room thoracotomy be limited?' Am Surg 1996;62:530-533

8. Velhamos GC, Degiannis E, Souter I et al. 'Outcome of a strict policy on emergency department thoracotomies.' Arch Surg 1995;130:774

9. Millham FH, Grendlinger GA. 'Survival determinants in patients undergoing emergency room thoracotomy for penetrating chest injury'. J Trauma 1993;34:332

10. Boyd M, Vanek VW, Bourguet CC. 'Emergency room resuscitative thoracotomy: when is it indicated?' J Trauma 1992;32:775

11. Clevenger FW, Yarbrough DR, Reines HD. 'Resuscitative thoracotomy: the effect of field time on outcome'. J Trauma 1988;28:441-445

12. Frezza EE, Mezghebe H. 'Is 30 minutes the golden period to perform emergency room thoracotomy (ERT) in penetrating chest injuries?' J Cardiovasc Surg (Torino) 1999;40:147-151

Open cardiac massage versus external cardiac compression

13. Luna GK, Paulin EG, Kirkman J et al. 'Hemodynamic effects of external cardiac massage in traumatic shock.' J Trauma 1989;29:1430

14. Delguercio L, Feins N, Cohn J et al. 'Comparison of blood flow during external and internal cardiac massage in man'. Circulation 1965;31(suppl):171

15. Arai T, Dote K, Tsukhara I et al. 'Cerebral blood flow during conventional, new and open-chest cardiopulmonary resuscitation in dogs'. Resuscitation 1984;12:147

Fluid resuscitation

16. Durham LA III, Richardson RJ, Wall MJ Jr et al. 'Emergency center thoracotomy: impact of prehospital resuscitation'. J Trauma 1992;32:775-779

17. Bickell WH, Wall MJ Jr, Pepe PE et al. 'Immediate versus delayed fluid resuscitation for hypotensive patients with penetrating torso injuries.' J Trauma 1997;42:608-614

18. Ivatury RR, Nallathmabi MN, ROberge RJ et al. 'Penetrating thoracic injuries: in-field stabilization vs. prompt transport.' J Trauma 1987;27:1066

Thoracic aortic cross-clamp

19. Dunn EL, Moore EE, Moore JB. 'Hemodynamic effects of aortic occlusion during hemorrhagic shock.' Ann Emerg Med 1982;11:238

20. Ledgerwood AM, Kzamers M, Lucas CE. 'The role of thoracic aortic occlusion for massive hemoperitoneum'. J Trauma 1976;16:610

21. Michel J, Bardon A, Tedqui A et al 'Effect of descending thoracic aortic clamping and unclamping on phasic coronary blood flow'. J Surg Res 1984;36:17