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Improving decision-making for prehospital Resuscitative Thoracotomy in traumatic cardiac arrest: a data-driven approach.


ABSTRACT:

SUBMITTER: Ter Avest E 

PROVIDER: S-EPMC12613375 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature

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Improving decision-making for prehospital Resuscitative Thoracotomy in traumatic cardiac arrest: a data-driven approach.

Ter Avest Ewoud E   Kocierz Laura L   Alvarez Cristian C   Hurst Tom T   Ballard Daniel D   Lockey David J DJ   Christian Michael D MD   Perkins Zane B ZB  

Critical care (London, England) 20251113 1


Prehospital Resuscitative Thoracotomy (RT) can be life-saving in traumatic cardiac arrest (TCA), particularly in patients with cardiac tamponade. Yet selecting who may benefit is challenging, as survival depends on two often uncertain factors: the underlying aetiology and the duration of arrest. Drawing on extensive prehospital RT experience, we propose a pragmatic framework based on two simple clinical surrogates. Injury location provides a useful surrogate for the likely cause of arrest, helpi  ...[more]

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