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Treatment of Penetrating Cardiac Wounds for the General Surgeon on Call.

MedStar author(s):

Citation: The Journal of Trauma and Acute Care Surgery. 2022 Aug 02PMID: 35916632Institution: MedStar Washington Hospital CenterDepartment: Surgery/Thoracic SurgeryForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: IN PROCESS -- NOT YET INDEXEDYear: 2022 Local holdings: Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006ISSN:

2163-0755

Name of journal: The journal of trauma and acute care surgeryAbstract: ABSTRACT: "Scoop and run" approaches for severely injured patients have been adopted by emergency medical services over the past 40 years. This has resulted in more patients with severe injuries including penetrating cardiac wounds arriving at trauma centers and other acute care hospitals. General surgery trauma teams and general surgeons taking trauma call are the first responders for diagnosis, resuscitation, and operative management of injured patients. By natural selection, 96% to 98% of patients with signs of life on arrival to the trauma center after sustaining a penetrating cardiac wound have injuries that are amenable to repair by a general surgeon, fellow, or senior surgical resident without the need for a cardiothoracic surgeon or cardiopulmonary bypass. This literature and experience-based review summarizes the diagnostic and operative approaches that should be known by all trauma teams and general surgeons taking trauma call. In addition, it describes when a cardiothoracic surgeon should be consulted and briefly reviews how complex penetrating cardiac injuries are repaired.Study type: Level IV, therapeutic/care management. Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.All authors: Feliciano DV, Khaitan PG, O'Connor JV, Rozycki GF, Scalea TM, Symbas PFiscal year: FY2023 Digital Object Identifier:

https://dx.doi.org/10.1097/TA.0000000000003753

ORCID:

https://orcid.org/0000-0001-8654-062

Date added to catalog: 2022-09-26

Holdings ( 1 )
Title notes ( 3 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	35916632	Available		35916632

Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006

ABSTRACT: "Scoop and run" approaches for severely injured patients have been adopted by emergency medical services over the past 40 years. This has resulted in more patients with severe injuries including penetrating cardiac wounds arriving at trauma centers and other acute care hospitals. General surgery trauma teams and general surgeons taking trauma call are the first responders for diagnosis, resuscitation, and operative management of injured patients. By natural selection, 96% to 98% of patients with signs of life on arrival to the trauma center after sustaining a penetrating cardiac wound have injuries that are amenable to repair by a general surgeon, fellow, or senior surgical resident without the need for a cardiothoracic surgeon or cardiopulmonary bypass. This literature and experience-based review summarizes the diagnostic and operative approaches that should be known by all trauma teams and general surgeons taking trauma call. In addition, it describes when a cardiothoracic surgeon should be consulted and briefly reviews how complex penetrating cardiac injuries are repaired.Study type: Level IV, therapeutic/care management. Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.

English