EC Thoracotomy following blunt trauma

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Prehospital CPR for trauma more than 4 minutes = no NOTHING upon arrival at  
EC.   
 
Blunt trauma and cardiac cessation at time of arrival in ED. EC thoracotomy  
on PROTOCOL and by surgeon available who know what to expect, what to do, and  
which incision to attempt will have an occassional save.   Less than  3%, 
probably less than 1% survival.   However, a blunt rupture of  atrium, cardiac 
herniation, and a rare other injury might be repaired via an  emergency center 
thoracotomy.    Remember Princess Di, had at  least 2 pre hospital cardiac 
cessation episodes in the 140 minutes between the  time of her accident and her 
arrival at the hospital.   She underwent  emergency center thoracotomy.    
 
k

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