Behind The Knife: The Surgery Podcast

BIG T Trauma Series Ep. 15 - ED Thoracotomy: The How

46 snips
Mar 24, 2022
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ADVICE

Mental Rehearsal

  • Prepare for an ED thoracotomy by mentally rehearsing the procedure.
  • Visualize each step to improve proficiency in emergencies.
ADVICE

ED Thoracotomy Steps

  • Make a wide incision, get into the chest, and take down the inferior pulmonary ligament.
  • Incise the pericardium, deliver the heart, fix holes, perform cardiac massage, and cross-clamp the aorta.
ADVICE

Incision Tips

  • Perform a wide, left, anterior lateral thoracotomy, starting at the sternum.
  • Extend the incision as far down towards the bed as possible for optimal exposure.
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