Ultrasound-diagnosed cardiac tamponade after blunt abdominal trauma—treated with emergent thoracotomy

Menaker, Jay; Cushman, Jeremy T.; Vermillion, Jon Mark; Rosenthal, Robert; Scalea, Thomas M.

doi:10.1016/j.jemermed.2006.05.036

Cited by 18 publications

(10 citation statements)

References 33 publications

(43 reference statements)

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“…When appropriately trained personnel are available, echocardiography may be considered to identify patients with potentially treatable causes of the arrest, particularly pericardial tamponade and inadequate ventricular filling (Class IIb, LOE C). [155][156][157][158][159][160][161][162] Minimize interruption of CPR while performing echocardiography.…”

Section: Echocardiographymentioning

confidence: 99%

Part 14: Pediatric Advanced Life Support

Kleinman¹,

Chameides²,

Schexnayder³

et al. 2010

Circulation

913

304

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Section: Echocardiographymentioning

confidence: 99%

Part 14: Pediatric Advanced Life Support

Kleinman¹,

Chameides²,

Schexnayder³

et al. 2010

Circulation

913

304

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“…What constitute ET has been described in literature by various authors [1][2][3][4][5][6][7][8]. There seems to be convergence of opinion that ET as a procedure is performed within 24 hours of admission.…”

Section: Discussionmentioning

confidence: 99%

“…Emergency room thoracotomy saves about one in five patients with isolated penetrating cardiac injury [1]. Multiple studies have shown that patients with isolated penetrating chest trauma have better outcomes than patients who suffer blunt chest trauma without signs of life at the scene or in the emergency department [5]. This is further corroborated by the work of Ahmad and his team in Karachi [6].…”

Section: Introductionmentioning

confidence: 95%

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Emergency Thoracotomy: Indications and Management Challenges in a Developing World

Thomas¹,

Ogunleye²

2012

WJCS

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Background: Emergency thoracotomies often challenge surgical logistics and they tend to produce inferior outcomes when compared with elective surgery. Aims: We sought to identify the specific indications and therapeutic challenges that go with patients who undergo thoracotomy within 24 hours of admission and the re-thoracotomies. Methodology: Spanning a 7-year period, the bio-data of patients who met our criteria for emergency thoracotomies were collated. We noted their indications for surgery, therapeutic challenges and outcome of care. Results: In all, 36 patients (28 males and 8 females) met the inclusion criteria. Majority, (66.7%) fell into the 20 - 39 year age range. Diaphragmatic rupture was the commonest indication, followed by massive intra-thoracic haemorrhage. Postoperative mortality occurred in 11.1% of patients. Postoperative ventilation was absolutely indicated in 6 patients. Discussion and Conclusion: Diaphragmatic rupture is the commonest indication for emergency thoracotomy. We noted the need for improvement in pre hospital care for trauma patients as a way to improve the management outcome of emergency thoracotomies

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“…As portable (i.e., mobile platform-based and truly handheld) ultrasound units become common place [10], nonradiology practitioners stand to gain true opportunity to glimpse into the inner workings of the body and turn that ability to practical, often life-saving, interventions [11,12]. The true impact of sonology is easily appreciated by performing a simple internet search using the very phrase "bedside sonography", with 2,061 results on PubMed and 17,900 results on Google™ Scholar (search performed on June 26, 2014).…”

mentioning

confidence: 99%

Modern sonology and the bedside practitioner: evolution of ultrasound from curious novelty to essential clinical tool

Stawicki

Bahner

2014

Eur J Trauma Emerg Surg

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When one uses versatility as the benchmark, the power of sonography becomes truly obvious as the number of its potential applications and disciplines involved is examined. For example, sonologists and proceduralists can claim substantial contributions in the areas of central [13] and peripheral [14] Principal aim of the next two special issues of EJTES is to highlight the progress of sonology as a discipline, focusing on the procedural and emergency applications. One of the key concepts central to the new sonology-based practice is the "I-AIM" paradigm [42]. Here, the independently functioning practitioner operates based on the premises of "indication, acquisition, interpretation, and medical decision-making". More specifically, each sonographic exam should carry a specific indication, along with a pretest probability. There has to be an orderly image acquisition procedure, followed by an established interpretation of the acquired data. Finally, the findings are translated into the paradigm of medical decision-making, where a consideration is given to perform specific clinical interventions, and/or altering the clinical course of action, based on said results [7,43].

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Ultrasound-diagnosed cardiac tamponade after blunt abdominal trauma—treated with emergent thoracotomy

Cited by 18 publications

References 33 publications

Part 14: Pediatric Advanced Life Support

Part 14: Pediatric Advanced Life Support

Emergency Thoracotomy: Indications and Management Challenges in a Developing World

Modern sonology and the bedside practitioner: evolution of ultrasound from curious novelty to essential clinical tool

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