Role of resuscitative emergency field thoracotomy in the Japanese helicopter emergency medical service system

Out of hospital thoracotomy for cardiac arrest after penetrating thoracic trauma

“…Although some Dutch HEMS physicians have achieved return of spontaneous circulation in patients with a witnessed arrest after blunt trauma (but no survivors), we decided not to include these patients in the current study. A Japanese series reporting on 34 prehospital thoracotomies for blunt trauma did not identify any survivors in their cohort either 12 .…”

Clamshell thoracotomy and open heart massage—A potential life-saving procedure can be taught to emergency physicians

“…However unexpected survivors from traumatic cardiac arrest are clearly described with good neurological outcomes in both adult and paediatric practice [3,5,11,[25][26][27][28][29]. Indeed in patients with penetrating cardiac wounds survival is now around 7.5-30%, higher than medical cardiac arrest overall and similar to witnessed VT/VF with immediate bystander CPR [3,5,[7][8][9][10]30].…”

“…Indeed in patients with penetrating cardiac wounds survival is now around 7.5-30%, higher than medical cardiac arrest overall and similar to witnessed VT/VF with immediate bystander CPR [3,5,[7][8][9][10]30]. The role of non-surgeons performed pre-hospital thoracotomy is recognised [3,5,[7][8][9][10][11]] for a small group of patients in whom there is insufficient time for scene to hospital transfer.…”

Kreislaufstillstand in besonderen Situationen

“…35 % beziffert. Demgegenüber wird bei Notfallthorakotomien nach stumpfem Trauma von miserablen überlebens-quoten von 0-2 % berichtet [191,192]. Der Erfolg der RT ist abhängig von ihrer zeitlichen Verzögerung.…”