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The primary indication for a resuscitative thoracotomy is a patient with penetrating chest trauma who has entered or is about to enter cardiac arrest. [4] Other indications for the use of this procedure include the appearance of blood from a chest tube that returns more than 1500 mL of blood during the first hour of placement, or ≥200 mL of ...
This method of insufflation has been proved more effective than methods which involve mechanical manipulation of the patient's chest or arms, such as the Silvester method. [4] It is also known as expired air resuscitation (EAR), expired air ventilation (EAV), rescue breathing, or colloquially the kiss of life. It was introduced as a life-saving ...
A chest tube may be required or aggressive breathing exercises and close monitoring may be adequate. [citation needed] With the use of stabilizers and PDS sutures, bar displacement rarely occurs. [4]: 1276, 1280 [5]: 340–1 If these methods of bar fixation are not used, bar displacement may occur. This can be quite painful and requires some ...
The drainage holes are placed inside the patient and the chest tube is passed out through the incision. Once the tube is in place, it is sutured to the skin to prevent movement. The chest tube is then connected to the drainage canister using additional tubing and connectors and connected to a suction source, typically regulated to -20 cm of water.
Thoracentesis / ˌ θ ɔː r ə s ɪ n ˈ t iː s ɪ s /, also known as thoracocentesis (from Greek θώραξ (thōrax, GEN thōrakos) 'chest, thorax' and κέντησις (kentēsis) 'pricking, puncture'), pleural tap, needle thoracostomy, or needle decompression (often used term), is an invasive medical procedure to remove fluid or air from the pleural space for diagnostic or therapeutic ...
If the patient responds verbally, you have established that there is at least a partially patent airway and that the patient is breathing (therefore not currently in respiratory arrest). If the patient is unresponsive, look for chest rise, which is an indicator of active breathing. A sternal rub is sometimes used to further assess for ...
The patient is aged between 12 and 70 years; There are no major co-morbidities that would preclude return to independent living; The patient is profoundly hypothermic (<32 °C) due to accidental exposure; The patient has taken a significant overdose of a vaso-active drug(s) (e.g. beta-blocker, tricyclic acid, digoxin)
Both the American Red Cross and UK National Health Service (NHS) advise that for a first attempt, a rescuer should encourage the patient to expel the obstruction by coughing. As a second measure, the rescuer should deliver five slaps to the back after bending the patient forward. Abdominal thrusts are recommended only if these methods fail.