Emergency room thoracotomy: Updated guidelines for a level I trauma center

Alan P. Ladd, Gerardo A. Gomez, Lewis E. Jacobson, Thomas A. Broadie, L. R. Scherer, Kathleen C. Solotkin

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

The purpose of this study was to evaluate whether 1995 study conclusions influenced patient selection and subsequent survival and whether indications for emergency room thoracotomy (ERT) could be further limited on the basis of patient physiologic status. A retrospective review of patient demographics, physiologic status both at the scene and on arrival to the emergency room (ER), and survival was performed on those who underwent ERT from July 1995 to December 1999. Sixty-five patients underwent ERT for sustained gunshot wounds and 14 patients for stab wounds. There were no survivors from Class I or II at the scene or Class I on presentation to the ER. Although there was a significant decrease in patients of Class I at the scene (27% vs 8%) and in the ER (58.3% vs 35.4%) the overall survival rate remained the same (2.6%). ERT could be eliminated for patients of Class I or II at the scene and for those of Class I on arrival to the ER without negating survivors; survival would improve to 16.2 per cent.

Original languageEnglish
Pages (from-to)421-424
Number of pages4
JournalAmerican Surgeon
Volume68
Issue number5
StatePublished - 2002

Fingerprint

Trauma Centers
Thoracotomy
Hospital Emergency Service
Guidelines
Survival
Survivors
Stab Wounds
Gunshot Wounds
Patient Selection
Survival Rate
Demography

ASJC Scopus subject areas

  • Surgery

Cite this

Ladd, A. P., Gomez, G. A., Jacobson, L. E., Broadie, T. A., Scherer, L. R., & Solotkin, K. C. (2002). Emergency room thoracotomy: Updated guidelines for a level I trauma center. American Surgeon, 68(5), 421-424.

Emergency room thoracotomy : Updated guidelines for a level I trauma center. / Ladd, Alan P.; Gomez, Gerardo A.; Jacobson, Lewis E.; Broadie, Thomas A.; Scherer, L. R.; Solotkin, Kathleen C.

In: American Surgeon, Vol. 68, No. 5, 2002, p. 421-424.

Research output: Contribution to journalArticle

Ladd, AP, Gomez, GA, Jacobson, LE, Broadie, TA, Scherer, LR & Solotkin, KC 2002, 'Emergency room thoracotomy: Updated guidelines for a level I trauma center', American Surgeon, vol. 68, no. 5, pp. 421-424.
Ladd AP, Gomez GA, Jacobson LE, Broadie TA, Scherer LR, Solotkin KC. Emergency room thoracotomy: Updated guidelines for a level I trauma center. American Surgeon. 2002;68(5):421-424.
Ladd, Alan P. ; Gomez, Gerardo A. ; Jacobson, Lewis E. ; Broadie, Thomas A. ; Scherer, L. R. ; Solotkin, Kathleen C. / Emergency room thoracotomy : Updated guidelines for a level I trauma center. In: American Surgeon. 2002 ; Vol. 68, No. 5. pp. 421-424.
@article{fe89a8ddebdb40d8bf7968a0ddd47b15,
title = "Emergency room thoracotomy: Updated guidelines for a level I trauma center",
abstract = "The purpose of this study was to evaluate whether 1995 study conclusions influenced patient selection and subsequent survival and whether indications for emergency room thoracotomy (ERT) could be further limited on the basis of patient physiologic status. A retrospective review of patient demographics, physiologic status both at the scene and on arrival to the emergency room (ER), and survival was performed on those who underwent ERT from July 1995 to December 1999. Sixty-five patients underwent ERT for sustained gunshot wounds and 14 patients for stab wounds. There were no survivors from Class I or II at the scene or Class I on presentation to the ER. Although there was a significant decrease in patients of Class I at the scene (27{\%} vs 8{\%}) and in the ER (58.3{\%} vs 35.4{\%}) the overall survival rate remained the same (2.6{\%}). ERT could be eliminated for patients of Class I or II at the scene and for those of Class I on arrival to the ER without negating survivors; survival would improve to 16.2 per cent.",
author = "Ladd, {Alan P.} and Gomez, {Gerardo A.} and Jacobson, {Lewis E.} and Broadie, {Thomas A.} and Scherer, {L. R.} and Solotkin, {Kathleen C.}",
year = "2002",
language = "English",
volume = "68",
pages = "421--424",
journal = "American Surgeon",
issn = "0003-1348",
publisher = "Southeastern Surgical Congress",
number = "5",

}

TY - JOUR

T1 - Emergency room thoracotomy

T2 - Updated guidelines for a level I trauma center

AU - Ladd, Alan P.

AU - Gomez, Gerardo A.

AU - Jacobson, Lewis E.

AU - Broadie, Thomas A.

AU - Scherer, L. R.

AU - Solotkin, Kathleen C.

PY - 2002

Y1 - 2002

N2 - The purpose of this study was to evaluate whether 1995 study conclusions influenced patient selection and subsequent survival and whether indications for emergency room thoracotomy (ERT) could be further limited on the basis of patient physiologic status. A retrospective review of patient demographics, physiologic status both at the scene and on arrival to the emergency room (ER), and survival was performed on those who underwent ERT from July 1995 to December 1999. Sixty-five patients underwent ERT for sustained gunshot wounds and 14 patients for stab wounds. There were no survivors from Class I or II at the scene or Class I on presentation to the ER. Although there was a significant decrease in patients of Class I at the scene (27% vs 8%) and in the ER (58.3% vs 35.4%) the overall survival rate remained the same (2.6%). ERT could be eliminated for patients of Class I or II at the scene and for those of Class I on arrival to the ER without negating survivors; survival would improve to 16.2 per cent.

AB - The purpose of this study was to evaluate whether 1995 study conclusions influenced patient selection and subsequent survival and whether indications for emergency room thoracotomy (ERT) could be further limited on the basis of patient physiologic status. A retrospective review of patient demographics, physiologic status both at the scene and on arrival to the emergency room (ER), and survival was performed on those who underwent ERT from July 1995 to December 1999. Sixty-five patients underwent ERT for sustained gunshot wounds and 14 patients for stab wounds. There were no survivors from Class I or II at the scene or Class I on presentation to the ER. Although there was a significant decrease in patients of Class I at the scene (27% vs 8%) and in the ER (58.3% vs 35.4%) the overall survival rate remained the same (2.6%). ERT could be eliminated for patients of Class I or II at the scene and for those of Class I on arrival to the ER without negating survivors; survival would improve to 16.2 per cent.

UR - http://www.scopus.com/inward/record.url?scp=0036583331&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036583331&partnerID=8YFLogxK

M3 - Article

C2 - 12017148

AN - SCOPUS:0036583331

VL - 68

SP - 421

EP - 424

JO - American Surgeon

JF - American Surgeon

SN - 0003-1348

IS - 5

ER -