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A resuscitative thoracotomy is indicated when severe injuries within the thoracic cavity (such as hemorrhage) prevent the physiologic functions needed to sustain life.The injury may also affect a specific organ such as the heart, which can develop an air embolism or a cardiac tamponade (which prevents the heart from beating properly).
Venous cutdown is an emergency procedure in which the vein is exposed surgically and then a cannula is inserted into the vein under direct vision. It is used for venous access in cases of trauma, and hypovolemic shock when the use of a peripheral venous catheter is either difficult or impossible.
This gives the surgeon perhaps an hour to close the wounds before a warming and recirculation procedure is applied. [1] [2] Human trials began in the 2010s. The trial procedure involves rapidly inducing profound hypothermia (10 °C) with an aortic flush in trauma victims that have suffered cardiac arrest and failed standard resuscitative ...
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The key dangers of internal bleeding include hypovolaemic shock (leading to exsanguination), a tamponade on the heart or a haemothorax on the lung. The aortic aneurysm is a special case where the aorta , the body's main blood vessel, becomes ruptured through an inherent weakness, although exertion, raised blood pressure or sudden movements ...
R Adams Cowley (July 25, 1917 – October 27, 1991) was an American surgeon considered a pioneer in emergency medicine and the treatment of shock trauma. [1] Called the "Father of Trauma Medicine", [2] he was the founder of the United States' first trauma center at the University of Maryland in 1958, after the United States Army awarded him $100,000 to study the effects of shock in wounded ...
Emergency medicine is a medical specialty—a field of practice based on the knowledge and skills required to prevent, diagnose, and manage acute and urgent aspects of illness and injury affecting patients of all age groups with a full spectrum of undifferentiated physical and behavioural disorders.
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