Traumatic Cardiac Arrest: ED Thoracotomy Instructions
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Traumatic Cardiac Arrest: ED Thoracotomy Instructions
1. CALL FOR HELP.
2. GATHER SUPPLIES.
   +/- Sterile gloves, towel, chlorhexidine
   Thoracotomy Tray
   For opening: Scalpel + Scissors, Finochietto retractor (spreaders)
   For sternum: Sternal saw, Lebsche knife & mallet, or shears
   For inside: Clamps, Forceps, Needle driver, Sutures
3. GET INTO CHEST.
   If-time, make strile: Gloves, chlorhexidine, towels.
   Make cut: Scalpel, 4cm at 4th ICS, along rib, skin + subcut
   Extend cut: Scissors, up to sternum, down towards axilla. Use 2 fingers to protect the lung, cutting over hand.
   Open up: Retractor. Hand crank & long bar are lateral. Repeat on other side.
   Cut sternum: Sternal saw, trauma scissors.
4. INSIDE THE CHEST:
   Correct reversible pathology: bleeding, obstruction.
   Highest survival rate after isolated cardiac injury.
Evacuate Pericardium
Repair Laceration on heart
Cardiac Massage
Cross-Clamp Aorta
Intrathoracic Hemorrhage
Air Embolism

Dr. Sarah Foohey @SarahFoohey

#Thoracotomy #Instructions #procedure #emergency #trauma
Contributed by

Dr. Gerald Diaz
@GeraldMD
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG:  https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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