Emergency thoracostomy as a safe and effective intervention in prehospital trauma:

Laszlo  Hetzman; Akos Soti; Peter  Temesvari; Attila  Eross; Andras  Petroczy; Andras  Cseko; David  Sutori

doi:10.21755/MTO.2024.067.0001.003

Laszlo Hetzman Hungarian Air Ambulance Nonprofit, Ltd.; Department of Emergency Medicine, Semmelweis University, Budapest, Hungary https://orcid.org/0000-0001-9638-6806
Akos Soti Hungarian Air Ambulance Nonprofit, Ltd.; Department of Emergency Medicine, Semmelweis University, Budapest, Hungary https://orcid.org/0000-0002-2310-8642
Peter Temesvari Hungarian Air Ambulance Nonprofit, Ltd. https://orcid.org/0000-0003-3479-7161
Attila Eross Department of Anesthesiology and Intensive Care, Medical Centre Hungarian Defence Forces https://orcid.org/0000-0003-1692-784X
Andras Petroczy Hungarian Air Ambulance Nonprofit, Ltd.; Department of Anesthesiology and Intensive Therapy, Semmelweis University, Budapest, Hungary https://orcid.org/0000-0002-2136-1409
Andras Cseko Department of Anesthesiology and Intensive Therapy, Semmelweis University, Budapest, Hungary https://orcid.org/0000-0002-7682-0430
David Sutori Hungarian Air Ambulance Nonprofit, Ltd.; Department of Trauma and Chest Surgery, Petz Aladar County Teaching Hospital, Gyor, Hungary https://orcid.org/0000-0002-1159-4620

DOI: https://doi.org/10.21755/MTO.2024.067.0001.003

Absztrakt

Traumatic tension pneumothorax is one of the most frequent causes of early mortality among the severely injured. Different methods are recommended for chest decompression. The aim of this study is to examine whether emergency thoracostomy can improve the real 30-day survival compared to the expected Revised Trauma Score (RTS) based survival, the Return of Spontaneous Circulation (ROSC) rate in Traumatic Cardiac Arrest (TCA), reduce the occurrence of tension pneumothorax (tPTX) and to determine the complication rate of the intervention.

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Emergency thoracostomy as a safe and effective intervention in prehospital trauma

A five year experience from the Hungarian Air Ambulance

Absztrakt

Hivatkozások