TY - CHAP M1 - Book, Section TI - Emergency Department Thoracotomy A1 - Banh, Kenny A2 - Reichman, Eric F. PY - 2018 T2 - Reichman's Emergency Medicine Procedures, 3e AB - An increase in urban violence combined with better prehospital and transport systems has resulted in the arrival of sicker trauma patients to the Emergency Department (ED). Previously, these patients might not have survived long enough to make it to the ED.1 The majority of individuals with penetrating chest injuries arrive at the ED in stable condition and are managed without major operative procedures.2 A subset of individuals, however, arrive in extremis and may require a thoracotomy. The purpose of the ED thoracotomy may be to control hemorrhage within the chest or below, to relieve a pericardial tamponade, to redistribute cardiac output to the brain and the heart, or to provide more effective cardiac massage.3 SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1159797420 ER -