RT Book, Section
A1 Reichman, Eric F.
SR Print(0)
ID 57704476
T1 Chapter 43. Open Cardiac Massage
T2 Emergency Medicine Procedures, 2e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-161352-1
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=57704476
RD 2024/04/20
AB The  purpose  of  cardiopulmonary  resuscitation  (CPR)  during  cardiac  arrest  or  hypovolemic  shock  is  to  provide  adequate  cardiac  output.  This  can  be  done  using  either  closed  or  open  chest  cardiac  massage.  Open  cardiac  massage  may  on  rare  occasions  be  performed  in  the  Emergency  Department.  It  is  performed  on  patients  who  have  had  an  emergent  thoracotomy  after  penetrating  chest  trauma  and  have  inadequate  cardiac  activity.  It  may  also  be  performed,  in  rare  instances,  after  a  thoracotomy  to  decompress  a  pericardial  tamponade  in  a  medical  patient.  Open  cardiac  massage  is  considered  a  heroic  procedure  in  the  Emergency  Department  that  can  be  lifesaving  if  performed  on  the  appropriate  patient.1–11