Trauma ICU Rounds Episode 33 - Harbor-UCLA Anesthesia Grand Rounds "Resuscitative Thoracotomy (and some stuff on crics)"
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Dec 26, 2020 Dive into the critical world of trauma care as experts discuss the life-saving procedure of resuscitative thoracotomy. Learn about the key indications for its use and the innovative 'circulation first' strategy during emergencies. The conversation also highlights the nuances of performing a cricothyroidotomy, underscoring its importance in trauma situations. A compelling case study illustrates the significance of swift decision-making and maintaining vital circulation when every second counts.
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Misleading Blood Pressure
- A high diastolic blood pressure and narrowed pulse pressure can be misleading.
- These can indicate impending hemodynamic instability despite a seemingly normal systolic reading.
Circulation First Resuscitation
- In trauma resuscitation, prioritize hemorrhage control over immediate airway securing.
- If the airway is patent and the patient is ventilating, address the bleeding first, similar to a CAB approach.
Thoracotomy Tray Essentials
- Prepare for a thoracotomy by opening the tray and simplifying it to essential instruments.
- These include a knife, scissors, rib spreaders, forceps, an aortic clamp, a 2-0 suture, and a stapler.