An evidence-based approach to patient selection for emergency department thoracotomy: A practice management guideline from the Eastern Association for the Surgery of Trauma
Mark J. Seamon,Elliott R. Haut,Kyle J. Van Arendonk,Ronald R. Barbosa,William C. Chiu,Christopher J. Dente,Nicole Fox,Randeep S. Jawa,Kosar Khwaja,J. Kayle Lee,Louis J. Magnotti,Julie Mayglothling,Amy A. McDonald,Susan E. Rowell,Kathleen B. To,Yngve Falck-Ytter,Peter Rhee +16 more
TLDR
It is strongly recommend that patients who present pulseless with signs of life after penetrating thoracic injury undergo EDT, and conditionally recommend against EDT for pulseless patients without signs ofLife after blunt injury.Abstract:
BACKGROUNDWithin the GRADE (Grading of Recommendations Assessment, Development and Evaluation) framework, we performed a systematic review and developed evidence-based recommendations to answer the following PICO (Population, Intervention, Comparator, Outcomes) question: should patients who presentread more
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Part 4: Pediatric Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care
Ashish R. Panchal,Jason A. Bartos,Jose G. Cabanas,Michael W. Donnino,Ian R. Drennan,Karen G. Hirsch,Peter J. Kudenchuk,Michael C. Kurz,Eric J. Lavonas,Peter T. Morley,Brian J. O'Neil,Mary Ann Peberdy,Jon C. Rittenberger,Amber J Rodriguez,Kelly N. Sawyer,Katherine Berg,Adult Basic +16 more
TL;DR: The Pediatric Basic and Advanced Life Support Collaborators aim to provide real-time information and guidance to parents and clinicians on how to care for their children during the neonatal intensive care unit and beyond.
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The AAST prospective Aortic Occlusion for Resuscitation in Trauma and Acute Care Surgery (AORTA) registry: Data on contemporary utilization and outcomes of aortic occlusion and resuscitative balloon occlusion of the aorta (REBOA)
Joseph J. DuBose,Thomas M. Scalea,Megan Brenner,Dimitra Skiada,Kenji Inaba,Jeremy Cannon,Laura Moore,John B. Holcomb,David Turay,Cassra N. Arbabi,Andrew W. Kirkpatrick,James Xiao,David Skarupa,Nathaniel Poulin +13 more
TL;DR: Resuscitative endovascular balloon occlusion of the aorta has emerged as a viable alternative to open AO in centers that have developed this capability in patients requiring AO.
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European Resuscitation Council Guidelines 2021: Cardiac arrest in special circumstances.
Carsten Lott,Anatolij Truhlář,A. Alfonzo,A. Barelli,Violeta González-Salvado,Jochen Hinkelbein,Jerry P. Nolan,Jerry P. Nolan,Peter Paal,Gavin D. Perkins,Gavin D. Perkins,Karl-Christian Thies,Joyce Yeung,Joyce Yeung,David Zideman,Jasmeet Soar,Gamal Eldin Abbas Khalifa,Efrén Álvarez,Roberta Barelli,Joost J.L.M. Bierens,Bernd Boettiger,Guttorm Brattebø,Douglas Browne,Hermann Brugger,Tomasz Darocha,Charles D. Deakin,Joel Dunning,Silvija Hunyadi-Anticevic,Rudolph W. Koster,David Lockey,Mathieu Pasquier,Jan Schmitz +31 more
TL;DR: These European Resuscitation Council (ERC) Cardiac Arrest in Special Circumstances guidelines are based on the 2020 International Consensus on Cardiopulmonary Resusitation Science with Treatment Recommendations as mentioned in this paper.
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The complications associated with Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA).
Marcelo Augusto Fontenelle Ribeiro Junior,Celia Y. D. Feng,Alexander T M Nguyen,Vinicius C. Rodrigues,Giovana El Khouri Bechara,Raíssa Reis de-Moura,Megan Brenner +6 more
TL;DR: This article aims to review the current knowledge surrounding the complications of the REBOA technique at each step of its application.
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Smaller introducer sheaths for Reboa may be associated with fewer complications
William A. Teeter,Junichi Matsumoto,Koji Idoguchi,Yuri Kon,Tomohiko Orita,Tomohiro Funabiki,Megan Brenner,Yosuke Matsumura +7 more
TL;DR: The results suggest that a 7Fr introducer device for REBOA may be a safe and effective alternative to large-bore sheaths, and may remain in place during the post-procedure resuscitative phase without sequelae.
References
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Practice management guidelines for emergency department thoracotomy. Working Group, Ad Hoc Subcommittee on Outcomes, American College of Surgeons-Committee on Trauma.
Journal ArticleDOI
Survival after emergency department thoracotomy: review of published data from the past 25 years.
Peter Rhee,Peter Rhee,Jose A. Acosta,Jose A. Acosta,Amy Bridgeman,Dennis Wang,Dennis Wang,Marion Jordan,Marion Jordan,Norman M. Rich +9 more
TL;DR: The best survival results are seen in patients who undergo EDT for thoracic stab injuries and who arrive with SOL in the emergency department, and all three factors-MOI, LOMI, and SOL-should be taken into account when deciding whether to perform EDT.
Journal ArticleDOI
Endovascular balloon occlusion of the aorta is superior to resuscitative thoracotomy with aortic clamping in a porcine model of hemorrhagic shock.
Joseph M. White,Jeremy W. Cannon,Adam Stannard,Nickolay P. Markov,Jerry R. Spencer,Todd E. Rasmussen +5 more
TL;DR: Resuscitative aortic BO increases central perfusion pressures with less physiologic disturbance than thoracotomy with aortsic clamping in a model of hemorrhagic shock.
Journal ArticleDOI
Emergency center thoracotomy: impact of prehospital resuscitation.
TL;DR: Prehospital endotracheal intubation prolonged successful toleration of CPR to 9.4 minutes compared with 4.2 minutes for nonintubated surviving patients (p less than 0.001) and is useful in the resuscitation of victims dying of penetrating truncal trauma.
Journal ArticleDOI
Guidelines for withholding or termination of resuscitation in prehospital traumatic cardiopulmonary arrest: joint position statement of the National Association of EMS Physicians and the American College of Surgeons Committee on Trauma.
TL;DR: Criteria for withholding resuscitation efforts in victims of penetrating or blunt trauma with injuries obviously incompatible with life, such as decapitation or hemicorporectomy are presented.