The Dept of Anaesthesia & Intensive Care, CUHK thanks

for an unrestricted education grant
BASIC instructor/provider course, Hong Kong, July 2nd-4th
Other upcoming courses
Home Feedback Contents

Emergency thoracotomy



  • witnessed trauma arrest in hospital
  • penetrating precordial trauma
  • normal QRS duration
  • potentially salvageable patient


  • Associated head injury
  • Multi-system injury
  • Team not trained or equipment not available


  • recurrent bleeding
    • chest wall
    • internal mammary artery
  • anoxic brain injury in 3-50%  of survivors
    • absent pupillary response poorly predictive
  • damage to:
    • phrenic nerve
    • coronary artery

©Charles Gomersall, April, 2014 unless otherwise stated. The author, editor and The Chinese University of Hong Kong take no responsibility for any adverse event resulting from the use of this webpage.
Copyright policy    Contributors