Emergency center thoracotomy

Impact of prehospital resuscitation

L. A. Durham, R. J. Richardson, M. J. Wall, P. E. Pepe, K. L. Mattox

Research output: Contribution to journalArticle

162 Citations (Scopus)

Abstract

Emergency center thoracotomy was performed at our facility on 389 patients from 1984 through 1989. There were no patients excluded from the study, and survival for all patients was 8.3% with survival rates of 15.2% and 7.3% for stab and gunshot wounds, respectively. Emergency center thoracotomy was performed on 42 patients suffering from isolated extrathoracic injuries with 7% survival. There were no survivors of blunt trauma in this study. Fifty- three percent of the patients arrived with cardiopulmonary resuscitation (CPR) in progress. The average time of prehospital CPR for survivors was 5.1 minutes compared with 9.1 minutes for nonsurvivors. Of the survivors, prehospital endotracheal intubation prolonged successful toleration of CPR to 9.4 minutes compared with 4.2 minutes for nonintubated surviving patients (p < 0.001). Emergency center thoracotomy is useful in the resuscitation of victims dying of penetrating truncal trauma. Prehospital endotracheal intubation significantly lengthened the time of successful CPR.

Original languageEnglish (US)
Pages (from-to)775-779
Number of pages5
JournalJournal of Trauma
Volume32
Issue number6
StatePublished - 1992

Fingerprint

Thoracotomy
Resuscitation
Emergencies
Cardiopulmonary Resuscitation
Survivors
Intratracheal Intubation
Wounds and Injuries
Stab Wounds
Gunshot Wounds
Survival
Survival Rate

ASJC Scopus subject areas

  • Surgery

Cite this

Durham, L. A., Richardson, R. J., Wall, M. J., Pepe, P. E., & Mattox, K. L. (1992). Emergency center thoracotomy: Impact of prehospital resuscitation. Journal of Trauma, 32(6), 775-779.

Emergency center thoracotomy : Impact of prehospital resuscitation. / Durham, L. A.; Richardson, R. J.; Wall, M. J.; Pepe, P. E.; Mattox, K. L.

In: Journal of Trauma, Vol. 32, No. 6, 1992, p. 775-779.

Research output: Contribution to journalArticle

Durham, LA, Richardson, RJ, Wall, MJ, Pepe, PE & Mattox, KL 1992, 'Emergency center thoracotomy: Impact of prehospital resuscitation', Journal of Trauma, vol. 32, no. 6, pp. 775-779.
Durham LA, Richardson RJ, Wall MJ, Pepe PE, Mattox KL. Emergency center thoracotomy: Impact of prehospital resuscitation. Journal of Trauma. 1992;32(6):775-779.
Durham, L. A. ; Richardson, R. J. ; Wall, M. J. ; Pepe, P. E. ; Mattox, K. L. / Emergency center thoracotomy : Impact of prehospital resuscitation. In: Journal of Trauma. 1992 ; Vol. 32, No. 6. pp. 775-779.
@article{6759ff467a6442499509d346d9c2d32b,
title = "Emergency center thoracotomy: Impact of prehospital resuscitation",
abstract = "Emergency center thoracotomy was performed at our facility on 389 patients from 1984 through 1989. There were no patients excluded from the study, and survival for all patients was 8.3{\%} with survival rates of 15.2{\%} and 7.3{\%} for stab and gunshot wounds, respectively. Emergency center thoracotomy was performed on 42 patients suffering from isolated extrathoracic injuries with 7{\%} survival. There were no survivors of blunt trauma in this study. Fifty- three percent of the patients arrived with cardiopulmonary resuscitation (CPR) in progress. The average time of prehospital CPR for survivors was 5.1 minutes compared with 9.1 minutes for nonsurvivors. Of the survivors, prehospital endotracheal intubation prolonged successful toleration of CPR to 9.4 minutes compared with 4.2 minutes for nonintubated surviving patients (p < 0.001). Emergency center thoracotomy is useful in the resuscitation of victims dying of penetrating truncal trauma. Prehospital endotracheal intubation significantly lengthened the time of successful CPR.",
author = "Durham, {L. A.} and Richardson, {R. J.} and Wall, {M. J.} and Pepe, {P. E.} and Mattox, {K. L.}",
year = "1992",
language = "English (US)",
volume = "32",
pages = "775--779",
journal = "Journal of Trauma and Acute Care Surgery",
issn = "2163-0755",
publisher = "Lippincott Williams and Wilkins",
number = "6",

}

TY - JOUR

T1 - Emergency center thoracotomy

T2 - Impact of prehospital resuscitation

AU - Durham, L. A.

AU - Richardson, R. J.

AU - Wall, M. J.

AU - Pepe, P. E.

AU - Mattox, K. L.

PY - 1992

Y1 - 1992

N2 - Emergency center thoracotomy was performed at our facility on 389 patients from 1984 through 1989. There were no patients excluded from the study, and survival for all patients was 8.3% with survival rates of 15.2% and 7.3% for stab and gunshot wounds, respectively. Emergency center thoracotomy was performed on 42 patients suffering from isolated extrathoracic injuries with 7% survival. There were no survivors of blunt trauma in this study. Fifty- three percent of the patients arrived with cardiopulmonary resuscitation (CPR) in progress. The average time of prehospital CPR for survivors was 5.1 minutes compared with 9.1 minutes for nonsurvivors. Of the survivors, prehospital endotracheal intubation prolonged successful toleration of CPR to 9.4 minutes compared with 4.2 minutes for nonintubated surviving patients (p < 0.001). Emergency center thoracotomy is useful in the resuscitation of victims dying of penetrating truncal trauma. Prehospital endotracheal intubation significantly lengthened the time of successful CPR.

AB - Emergency center thoracotomy was performed at our facility on 389 patients from 1984 through 1989. There were no patients excluded from the study, and survival for all patients was 8.3% with survival rates of 15.2% and 7.3% for stab and gunshot wounds, respectively. Emergency center thoracotomy was performed on 42 patients suffering from isolated extrathoracic injuries with 7% survival. There were no survivors of blunt trauma in this study. Fifty- three percent of the patients arrived with cardiopulmonary resuscitation (CPR) in progress. The average time of prehospital CPR for survivors was 5.1 minutes compared with 9.1 minutes for nonsurvivors. Of the survivors, prehospital endotracheal intubation prolonged successful toleration of CPR to 9.4 minutes compared with 4.2 minutes for nonintubated surviving patients (p < 0.001). Emergency center thoracotomy is useful in the resuscitation of victims dying of penetrating truncal trauma. Prehospital endotracheal intubation significantly lengthened the time of successful CPR.

UR - http://www.scopus.com/inward/record.url?scp=0026721418&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0026721418&partnerID=8YFLogxK

M3 - Article

VL - 32

SP - 775

EP - 779

JO - Journal of Trauma and Acute Care Surgery

JF - Journal of Trauma and Acute Care Surgery

SN - 2163-0755

IS - 6

ER -