Images
Emergency department thoracotomy & lung injuryemergency department thoracotomy & lung injury Mande Toubkin, National Trauma Coordinator, Netcare, South Africa |
Penetrating cardiac injury. Temporary balloon occlusion urinary catheterPenetrating cardiac injury. Temporary balloon occlusion urinary catheter. Ricardo Antonio Hoppen, Passo Fundo, Rio Grande do Sul, Brazil |
Cardiac injury - antenna 04 - thoracotomyCardiac injury with car antenna - thoracotomy Frederick Foss |
Right crush chest, rib fracture fixation 03Right crush chest, rib fracture fixation at thoracotomy Carlos Ramos Hinds, El Salvador |
Right crush chest, rib fracture fixation 04Right crush chest, post-op radiograph Carlos Ramos Hinds, El Salvador |
Open pneumothorax, lung injury - thoracotomyChest wall injury & open pneumothorax Pedro Gustavo Rezende Teixeira, Belo Horizonte, Brazil |
Laceration to intra-thoracic trachea 01Laceration to intra-thoracic trachea Yusuf Bayrak, Istanbul Medical School Department of Thoracic Surgery |
Laceration to intra-thoracic trachea 01Laceration to intra-thoracic trachea Yusuf Bayrak, Istanbul Medical School Department of Thoracic Surgery |
Penetrating cardiac injury - stab to precordiumPenetrating cardiac injury - stab to precordium Dr. Ricardo Antonio Hoppen, Passo Fundo, Rio Grande do Sul, Brazil |
Penetrating cardiac injury - stab to precordium & resuscitative thoracotomyPenetrating cardiac injury and emergency department thoracotomy Dr. Ricardo Antonio Hoppen, Passo Fundo, Rio Grande do Sul, Brazil |
Shotgun wound to chest - lung injury at thoracotomyShotgun wound to left chest Luis Filipe Pinheiro, Hospital S㯠Teot, Viseu, Portugal |
Right ventricular stab - knife in situ - repairRight ventricle injury, repair Marcelo Miranda, Hospital Regional de Sorocaba, Sorocaba, Brazil |
Right ventricular stab - knife in situ - clamp controlRight ventricle injury, clamp control Marcelo Miranda, Hospital Regional de Sorocaba, Sorocaba, Brazil |
Pulmonary tractotomy 04Pulmonary tractotomy 04 Horacio Massotto, Costa Rica |
Pulmonary tractotomy 01Pulmonary tractotomy 01 Horacio Massotto, Costa Rica |
Pulmonary tractotomy 03Pulmonary tractotomy 03 Horacio Massotto, Costa Rica |
Pulmonary tractotomy 02Pulmonary tractotomy 02 Horacio Massotto, Costa Rica |
Right sided diaphragmatic hernia secondary to blunt abdominal traumaRight sided diaphragmatic injury secondary to blunt trauma Fernando Joglar, MD, San Juan, Puerto Rico |
A cardiac lesion caused by a firearm 01Cardiac firearm injury - at time of thoracotomy Camilo Villalta Rodriguez M.D. El Salvador |
A cardiac lesion caused by a firearm 02Cardiac firearm injury - at time of thoracotomy Camilo Villalta Rodriguez M.D. El Salvador |
Emergency Department ThoracotomyED thoracotomy on a patient post firearm injury with damage to the ascending aortaVicente 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 abdomenTowel clip closure for damage control post thoracotomy and laparotomyLuciano 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 haemothoraxShotgun wound to the chest. Haemothorax Trauma.org |
Thoracotomy following shotgun wound to the chestThoracotomy following shotgun to the chest Trauma.org |
Left ventricle injuryVentricular stab wound - median sternotomyDr.Setthabutr Eaupanitcharoen, M.D. Trauma Division, Department of Surgery, Maharat Nakornratchasima Hospital, Nakornratchasima, Thailand |
Left ventricle injury 2Ventricular stab wound - digital controlDr.Setthabutr Eaupanitcharoen,M.D. Trauma Division, Department of surgery, Maharat Nakornratchasima hospital, Nakornratchasima Thailand |
Left ventricle injury 3Ventricular stab wound - suture repairDr.Setthabutr Eaupanitcharoen,M.D. Trauma Division, Department of surgery, Maharat Nakornratchasima hospital, Nakornratchasima Thailand |
Left ventricle injury 4Ventricular stab wound - pledget repairDr.Setthabutr Eaupanitcharoen,M.D. Trauma Division, Department of surgery, Maharat Nakornratchasima hospital, Nakornratchasima Thailand |
Drain insertionTrauma.org |
Articles
Emergency Department Thoracotomy
Indications and technique of resuscitative thoracotomy
, 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
, 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.
Cardiac laceration
, August 13, 2010
A patient was transferred to the Emergency Department of our hospital, having sustained two major stab injuries to the upper abdomen.
Biventricular shotgun injury of the heart
with involvment of proximal RCA and LAD
, 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?
, 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.
