Optimizing Incision Technique in Resuscitative Thoracotomy

The chapter explores the debate between clamshell incisions and left anterior lateral thoracotomies in resuscitative thoracotomy procedures, emphasizing the advantages of a curved incision for better access. The discussion includes insights on incising the sternum towards the axilla, addressing risks and benefits based on individual experiences and training backgrounds. Techniques for accessing critical structures, identifying the pericardium, and performing cross clamping are highlighted, stressing the importance of precision and caution in emergency procedures.