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Emergency department thoracotomy & lung injury

emergency department thoracotomy & lung injury

Mande Toubkin, National Trauma Coordinator, Netcare, South Africa


Penetrating cardiac injury. Temporary balloon occlusion urinary catheter

Penetrating cardiac injury. Temporary balloon occlusion urinary catheter.

Ricardo Antonio Hoppen, Passo Fundo, Rio Grande do Sul, Brazil


Cardiac injury - antenna 04 - thoracotomy

Cardiac injury with car antenna - thoracotomy

Frederick Foss


Right crush chest, rib fracture fixation 03

Right crush chest, rib fracture fixation at thoracotomy

Carlos Ramos Hinds, El Salvador


Right crush chest, rib fracture fixation 04

Right crush chest, post-op radiograph

Carlos Ramos Hinds, El Salvador


Open pneumothorax, lung injury - thoracotomy

Chest wall injury & open pneumothorax

Pedro Gustavo Rezende Teixeira, Belo Horizonte, Brazil


Laceration to intra-thoracic trachea 01

Laceration to intra-thoracic trachea

Yusuf Bayrak, Istanbul Medical School Department of Thoracic Surgery


Laceration to intra-thoracic trachea 01

Laceration to intra-thoracic trachea

Yusuf Bayrak, Istanbul Medical School Department of Thoracic Surgery


Penetrating cardiac injury - stab to precordium

Penetrating cardiac injury - stab to precordium

Dr. Ricardo Antonio Hoppen, Passo Fundo, Rio Grande do Sul, Brazil


Penetrating cardiac injury - stab to precordium & resuscitative thoracotomy

Penetrating cardiac injury and emergency department thoracotomy

Dr. Ricardo Antonio Hoppen, Passo Fundo, Rio Grande do Sul, Brazil


Shotgun wound to chest - lung injury at thoracotomy

Shotgun wound to left chest

Luis Filipe Pinheiro, Hospital S㯠Teot󮩯, Viseu, Portugal


Right ventricular stab - knife in situ - repair

Right ventricle injury, repair

Marcelo Miranda, Hospital Regional de Sorocaba, Sorocaba, Brazil


Right ventricular stab - knife in situ - clamp control

Right ventricle injury, clamp control

Marcelo Miranda, Hospital Regional de Sorocaba, Sorocaba, Brazil


Pulmonary tractotomy 04

Pulmonary tractotomy 04

Horacio Massotto, Costa Rica


Pulmonary tractotomy 01

Pulmonary tractotomy 01

Horacio Massotto, Costa Rica


Pulmonary tractotomy 03

Pulmonary tractotomy 03

Horacio Massotto, Costa Rica


Pulmonary tractotomy 02

Pulmonary tractotomy 02

Horacio Massotto, Costa Rica


Right sided diaphragmatic hernia secondary to blunt abdominal trauma

Right sided diaphragmatic injury secondary to blunt trauma

Fernando Joglar, MD, San Juan, Puerto Rico


A cardiac lesion caused by a firearm 01

Cardiac firearm injury - at time of thoracotomy

Camilo Villalta Rodriguez M.D. El Salvador


A cardiac lesion caused by a firearm 02

Cardiac firearm injury - at time of thoracotomy

Camilo Villalta Rodriguez M.D. El Salvador


Emergency Department Thoracotomy

ED thoracotomy on a patient post firearm injury with damage to the ascending aorta

Vicente Scopel, Jorge Carlotto e Danielle Negrello. Serviço de Cirurgia Geral e do Trauma do Hospital da Cidade - Passo Fundo - RS - Brasil


Towel clip closure of the chest and abdomen

Towel clip closure for damage control post thoracotomy and laparotomy

Luciano Pereira e Jorge Carlotto Serviço de Cirurgia Geral e do Trauma do Hospital da Cidade - Passo Fundo - RS – Brasil


Shotgun wound to the chest with haemothorax

Shotgun wound to the chest. Haemothorax

Trauma.org


Thoracotomy following shotgun wound to the chest

Thoracotomy following shotgun to the chest

Trauma.org


Left ventricle injury

Ventricular stab wound - median sternotomy

Dr.Setthabutr Eaupanitcharoen, M.D. Trauma Division, Department of Surgery, Maharat Nakornratchasima Hospital, Nakornratchasima, Thailand


Left ventricle injury 2

Ventricular stab wound - digital control

Dr.Setthabutr Eaupanitcharoen,M.D. Trauma Division, Department of surgery, Maharat Nakornratchasima hospital, Nakornratchasima Thailand


Left ventricle injury 3

Ventricular stab wound - suture repair

Dr.Setthabutr Eaupanitcharoen,M.D. Trauma Division, Department of surgery, Maharat Nakornratchasima hospital, Nakornratchasima Thailand


Left ventricle injury 4

Ventricular stab wound - pledget repair

Dr.Setthabutr Eaupanitcharoen,M.D. Trauma Division, Department of surgery, Maharat Nakornratchasima hospital, Nakornratchasima Thailand


Drain insertion

Trauma.org


Articles

Emergency Department Thoracotomy

Indications and technique of resuscitative thoracotomy

Karim Brohi, London, UK, September 30, 2006

Emergency department thoractomy is performed in the emergency room for patients in traumatic arrest or profoundly shocked. This article discusses the indications for emergency department thoracotomy and describes the operative technique and resuscitative management of these patients.

Case Presentations

A Stab Wound to the Right Auriculoventricular Junction

sam zeraatian nejad davani, October 18, 2010

A patient came to our hospital trauma center with profound shock following a stab attack. The stab entry point was the right anterior chest wall. The injury was repaired and the patient discharged following a good recovery.

Biventricular shotgun injury of the heart

with involvment of proximal RCA and LAD

sam zeraatian nejad davani, July 31, 2010

20 years old man came with profound shock and bilateral massive hemothorax and jugular vein distension as result of cardiac tamponade. He underwent successful cardiac repair and had an uneventful post operative course.

Penetrating Cardiac Injuries

How to get the best possible outcome?

Denis Allard, GF Jooste hospital Manenberg, January 10, 2009

82% survival in 35 consecutive stab heart patients was achieved in a South African metropolitan community hospital during the year 2008. Excellent and expediant prehospital management, skilled emergency room personnel and available surgical skill is necessary to achieve these results. The survival rate depends on the number of patients analyzed. The last 160 patients have a 70% survival rate, the last 35 patients have an 82% survival rate. Every surgical team can achieve good results under appropriate leadership.

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