Dissection through deep fascia, intercostal muscles and parietal pleural into the pleural cavity was done with curved Mayo scissors, and the sternum was cut with straight Mayo scissors, thus completing the …

A resuscitative thoracotomy is indicated when severe injuries within the thoracic cavity (such as hemorrhage) prevent the physiologic functions needed to sustain life.

Feb 27, 2024 · A clamshell thoracotomy is used primarily to treat cardiac tamponade as a potential cause of death. The goals are to release cardiac tamponade, control hemorrhage, and restart the heart.

Apr 18, 2019 · And that means doing a clamshell thoracotomy. Clamshell you say? The clamshell thoracotomy involves an incision extending across the entire anterior chest (mirroring the one made …

May 7, 2025 · Resuscitative thoracotomy is a thoracotomy performed prehospital, in the emergency department or elsewhere that is an integral part of the initial resuscitation of a patient; an alternate …

Aug 21, 2024 · This topic will briefly review the indications for resuscitative (emergency department) thoracotomy, which are discussed more fully in separate reviews, as well as contraindications and …

Oct 24, 2018 · This simulation describes the key steps involved in performing a clamshell thoracotomy, provides tips on how to minimize risks and describes how to resuscitate the heart during the …

Traditionally in hospital, a left lateral thoracotomy is perfomed, but the clamshell approach provides better access to and exposure of the organs for the non-expert surgeon such as prehospital …

We report an unusual case of survival after emergency department clamshell thoracotomy for penetrating thoracic trauma with cardiac tamponade in a 23-year-old man with multiple stab wounds …

Clamshell thoracotomy (CST) may be indicated and life‐saving in carefully selected cases of blunt trauma. As such, the current clinical stance of general contraindication of CST in blunt trauma should …