Surgical Diversions » trauma http://thefragens.com/blog My time out of the operating room. Sun, 13 May 2012 18:52:16 +0000 en hourly 1 http://wordpress.org/?v=3.3.2 Bullseye http://thefragens.com/blog/2008/05/bullseye/ http://thefragens.com/blog/2008/05/bullseye/#comments Mon, 12 May 2008 23:55:18 +0000 Andy Fragen http://thefragens.com/blog/?p=496 Continue reading → No related posts. Related posts brought to you by Yet Another Related Posts Plugin.]]> In comes someone with a penetrating injury to the chest, CPR in progress. This is always a bad sign.

Into the trauma bay, no pulse, no pressure, no tracing. A quick ED thoracotomy later and I find a pericardium that hissed at me when I opened it. Along with a large pericardial clot was a rush of air. I reached in to start open cardiac massage and found a huge hole in the atrium. With every breath came a significant amount of the air through the open atrium.

There’s a reason that ED thoracotomies have a historically high mortality.

No related posts.

Related posts brought to you by Yet Another Related Posts Plugin.

]]> http://thefragens.com/blog/2008/05/bullseye/feed/ 0 QuickClot http://thefragens.com/blog/2008/04/quickclot/ http://thefragens.com/blog/2008/04/quickclot/#comments Fri, 25 Apr 2008 17:18:49 +0000 Andy Fragen http://thefragens.com/blog/?p=490 Continue reading → No related posts. Related posts brought to you by Yet Another Related Posts Plugin.]]> Boy I’d really like to try some of this QuickClot stuff in the OR. I think it would be great to use for a planned second look.

No related posts.

Related posts brought to you by Yet Another Related Posts Plugin.

]]> http://thefragens.com/blog/2008/04/quickclot/feed/ 0