Should prehospital resuscitative thoracotomy be incorporated in advanced life support after traumatic cardiac arrest?


The survival of traumatic cardiac arrest patients poses a challenge for Emergency Medical Services initiating advanced life support on-scene, especially with regard to having to decide immediately whether to initiate prehospital emergency thoracotomy. Although the necessity for carrying out the procedure remains a cause for debate, it can be life-saving when performed with the correct indications and approaches.

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Correspondence to A. Chalkias.

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Chalkias, A., Xanthos, T. Should prehospital resuscitative thoracotomy be incorporated in advanced life support after traumatic cardiac arrest?. Eur J Trauma Emerg Surg 40, 395–397 (2014).

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  • Traumatic cardiac arrest
  • Prehospital
  • Thoracotomy
  • Algorithm