Survival following resuscitative thoracotomy for combined left ventricle and left atrium ruptures secondary to blunt trauma
Summary Improvements in pre-hospital care and the development of integrated Trauma Systems have streamlined access for the severely injured to sophisticated, specialist Trauma Centre reception and resuscitation. We describe the initial care of a survivor of combined ruptures of the left ventricle an...
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| Published in: | Injury Vol. 39; no. 9; pp. 1089 - 1092 |
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| Main Authors: | , , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
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01-09-2008
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| Abstract | Summary Improvements in pre-hospital care and the development of integrated Trauma Systems have streamlined access for the severely injured to sophisticated, specialist Trauma Centre reception and resuscitation. We describe the initial care of a survivor of combined ruptures of the left ventricle and left atrium secondary to blunt injury. This case emphasises the contribution of such a Trauma System in achieving a favourable outcome for a severely injured trauma patient with injuries previously considered non-survivable. |
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| AbstractList | Improvements in pre-hospital care and the development of integrated Trauma Systems have streamlined access for the severely injured to sophisticated, specialist Trauma Centre reception and resuscitation. We describe the initial care of a survivor of combined ruptures of the left ventricle and left atrium secondary to blunt injury. This case emphasises the contribution of such a Trauma System in achieving a favourable outcome for a severely injured trauma patient with injuries previously considered non-survivable. Summary Improvements in pre-hospital care and the development of integrated Trauma Systems have streamlined access for the severely injured to sophisticated, specialist Trauma Centre reception and resuscitation. We describe the initial care of a survivor of combined ruptures of the left ventricle and left atrium secondary to blunt injury. This case emphasises the contribution of such a Trauma System in achieving a favourable outcome for a severely injured trauma patient with injuries previously considered non-survivable. |
| Author | Marasco, Silvana Bunbury, Kerryn Gooi, Julian Effeney, Peter Basu, Abhishek Hines, Jane Rahman, Fatima Fitzgerald, Mark Bezer, Lamia Russell, T. John |
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| Cites_doi | 10.1136/heart.89.5.485 10.1016/j.injury.2005.05.011 10.1097/00005373-200004000-00002 10.1007/s003300000559 10.1016/S0039-6109(05)70085-2 10.1016/j.injury.2005.02.014 10.1097/00005373-199604000-00004 10.1097/00005373-200007000-00009 10.1097/00005373-198404000-00001 10.1097/00000658-199012000-00008 10.1111/j.1742-6723.2005.00782.x 10.1097/00005373-198303000-00006 10.1111/j.1445-2197.2006.03841.x 10.1097/00005373-198206000-00008 10.1097/00005373-199804000-00009 |
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| Keywords | Resuscitative thoracotomy Cardiac trauma FAST Trauma systems Cardiac tamponade Prognosis Cardiovascular disease Left atrium Thoracotomy Survival Left ventricle Treatment Heart trauma Heart disease Surgery Tissue rupture Pericardial disease Anesthesia |
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| References_xml | – volume: 22 start-page: 487 year: 1982 end-page: 491 ident: bib3 article-title: The role of emergency thoracotomy in blunt trauma publication-title: J Trauma contributor: fullname: Blaisdell – volume: 37 start-page: 1 year: 2006 end-page: 19 ident: bib8 article-title: Emergency thoracotomy in thoracic trauma—a review publication-title: Injury contributor: fullname: Owens – volume: 36 start-page: 1277 year: 2005 end-page: 1287 ident: bib1 article-title: The evolution of an integrated state trauma system in Victoria, Australia publication-title: Injury contributor: fullname: Rosenfeld – volume: 89 start-page: 485 year: 2003 end-page: 489 ident: bib15 article-title: Diagnosing cardiac contusion: old wisdom and new insights publication-title: Heart contributor: fullname: Burgersdijk – volume: 49 start-page: 63 year: 2000 end-page: 69 ident: bib2 article-title: Effect of trauma system maturation on mortality rates in patients with blunt injuries in the Finger Lakes Region of New York State publication-title: J Trauma contributor: fullname: Tian – volume: 45 start-page: 336 year: 1998 end-page: 370 ident: bib13 article-title: Penetrating cardiac injuries: a population based study publication-title: J Trauma contributor: fullname: Kaufmann – volume: 79 start-page: 1417 year: 1999 end-page: 1429 ident: bib5 article-title: Advances in the diagnosis and treatment of thoracic trauma publication-title: Surg Clin N Am contributor: fullname: Rozycki – volume: 17 start-page: 494 year: 2005 end-page: 499 ident: bib7 article-title: The definitive management of cardiac rupture and tamponade secondary to blunt trauma publication-title: Emerg Med Australasia contributor: fullname: Johnson – volume: 8 start-page: 122 year: 2005 end-page: 123 ident: bib9 article-title: Innovative technology to improve trauma patient outcomes—the trauma reception and resuscitation project publication-title: Australasian Emerg Nurs J contributor: fullname: Fitzgerald – volume: 48 start-page: 587 year: 2000 end-page: 591 ident: bib16 article-title: Factors affecting prognosis with penetrating wounds of the heart publication-title: J Trauma contributor: fullname: Wilson – volume: 40 start-page: 536 year: 1996 end-page: 545 ident: bib12 article-title: Influence of a statewide trauma system on location of hospitalisation and outcome of injured patients publication-title: J Trauma contributor: fullname: Hedges – volume: 11 start-page: 113 year: 2001 end-page: 116 ident: bib17 article-title: Blunt trauma of the heart: pattern of atrial appendage ruptures publication-title: Eur Radiol contributor: fullname: Schnyder – volume: 23 start-page: 213 year: 1983 end-page: 216 ident: bib14 article-title: Outcomes of trauma patients with no vital signs on hospital admission publication-title: J Trauma contributor: fullname: Shatney – volume: 44 start-page: 609 year: 1998 end-page: 616 ident: bib11 article-title: Preferential benefit of implementation of a statewide trauma system in one of two adjacent states publication-title: J Trauma contributor: fullname: Hedges – volume: 212 start-page: 701 year: 1990 end-page: 704 ident: bib4 article-title: Blunt traumatic cardiac rupture. A 5 year experience publication-title: Ann Surg contributor: fullname: Turney – volume: 24 start-page: 287 year: 1984 end-page: 290 ident: bib10 article-title: Blunt cardiac rupture publication-title: J Trauma contributor: fullname: Rowlands – volume: 89 start-page: 485 issue: May year: 2003 ident: 10.1016/j.injury.2008.04.024_bib15 article-title: Diagnosing cardiac contusion: old wisdom and new insights publication-title: Heart doi: 10.1136/heart.89.5.485 contributor: fullname: Sybrandy – volume: 36 start-page: 1277 issue: November year: 2005 ident: 10.1016/j.injury.2008.04.024_bib1 article-title: The evolution of an integrated state trauma system in Victoria, Australia publication-title: Injury doi: 10.1016/j.injury.2005.05.011 contributor: fullname: Atkin – volume: 8 start-page: 122 year: 2005 ident: 10.1016/j.injury.2008.04.024_bib9 article-title: Innovative technology to improve trauma patient outcomes—the trauma reception and resuscitation project publication-title: Australasian Emerg Nurs J contributor: fullname: Lee – volume: 48 start-page: 587 issue: April year: 2000 ident: 10.1016/j.injury.2008.04.024_bib16 article-title: Factors affecting prognosis with penetrating wounds of the heart publication-title: J Trauma doi: 10.1097/00005373-200004000-00002 contributor: fullname: Tyburski – volume: 11 start-page: 113 year: 2001 ident: 10.1016/j.injury.2008.04.024_bib17 article-title: Blunt trauma of the heart: pattern of atrial appendage ruptures publication-title: Eur Radiol doi: 10.1007/s003300000559 contributor: fullname: Wintermark – volume: 79 start-page: 1417 issue: December year: 1999 ident: 10.1016/j.injury.2008.04.024_bib5 article-title: Advances in the diagnosis and treatment of thoracic trauma publication-title: Surg Clin N Am doi: 10.1016/S0039-6109(05)70085-2 contributor: fullname: Feliciano – volume: 37 start-page: 1 year: 2006 ident: 10.1016/j.injury.2008.04.024_bib8 article-title: Emergency thoracotomy in thoracic trauma—a review publication-title: Injury doi: 10.1016/j.injury.2005.02.014 contributor: fullname: Hunt – volume: 40 start-page: 536 issue: April year: 1996 ident: 10.1016/j.injury.2008.04.024_bib12 article-title: Influence of a statewide trauma system on location of hospitalisation and outcome of injured patients publication-title: J Trauma doi: 10.1097/00005373-199604000-00004 contributor: fullname: Mullins – volume: 45 start-page: 336 issue: August year: 1998 ident: 10.1016/j.injury.2008.04.024_bib13 article-title: Penetrating cardiac injuries: a population based study publication-title: J Trauma contributor: fullname: Rhee – volume: 49 start-page: 63 issue: July year: 2000 ident: 10.1016/j.injury.2008.04.024_bib2 article-title: Effect of trauma system maturation on mortality rates in patients with blunt injuries in the Finger Lakes Region of New York State publication-title: J Trauma doi: 10.1097/00005373-200007000-00009 contributor: fullname: Barquist – volume: 24 start-page: 287 issue: April year: 1984 ident: 10.1016/j.injury.2008.04.024_bib10 article-title: Blunt cardiac rupture publication-title: J Trauma doi: 10.1097/00005373-198404000-00001 contributor: fullname: Martin – volume: 212 start-page: 701 issue: December year: 1990 ident: 10.1016/j.injury.2008.04.024_bib4 article-title: Blunt traumatic cardiac rupture. A 5 year experience publication-title: Ann Surg doi: 10.1097/00000658-199012000-00008 contributor: fullname: Brathwaite – volume: 17 start-page: 494 year: 2005 ident: 10.1016/j.injury.2008.04.024_bib7 article-title: The definitive management of cardiac rupture and tamponade secondary to blunt trauma publication-title: Emerg Med Australasia doi: 10.1111/j.1742-6723.2005.00782.x contributor: fullname: Fitzgerald – volume: 23 start-page: 213 year: 1983 ident: 10.1016/j.injury.2008.04.024_bib14 article-title: Outcomes of trauma patients with no vital signs on hospital admission publication-title: J Trauma doi: 10.1097/00005373-198303000-00006 contributor: fullname: Shimazu – ident: 10.1016/j.injury.2008.04.024_bib6 doi: 10.1111/j.1445-2197.2006.03841.x – volume: 22 start-page: 487 issue: June year: 1982 ident: 10.1016/j.injury.2008.04.024_bib3 article-title: The role of emergency thoracotomy in blunt trauma publication-title: J Trauma doi: 10.1097/00005373-198206000-00008 contributor: fullname: Bodai – volume: 44 start-page: 609 issue: April year: 1998 ident: 10.1016/j.injury.2008.04.024_bib11 article-title: Preferential benefit of implementation of a statewide trauma system in one of two adjacent states publication-title: J Trauma doi: 10.1097/00005373-199804000-00009 contributor: fullname: Mullins |
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| SubjectTerms | Atrial Appendage - injuries Biological and medical sciences Cardiac tamponade Cardiac trauma Diseases of the osteoarticular system Emergency Medical Services FAST Heart Atria - injuries Heart Atria - surgery Heart Injuries - surgery Heart Ventricles - injuries Humans Injuries of the limb. Injuries of the spine Injuries of the thorax. Foreign bodies. Diseases due to physical agents Lung Injury - surgery Male Medical sciences Middle Aged Orthopedics Resuscitation - methods Resuscitative thoracotomy Rupture - surgery Thoracotomy - methods Trauma systems Traumas. Diseases due to physical agents Treatment Outcome Wounds, Nonpenetrating - surgery |
| Title | Survival following resuscitative thoracotomy for combined left ventricle and left atrium ruptures secondary to blunt trauma |
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