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Role of resuscitative emergency field thoracotomy in the Japanese helicopter emergency medical service system by Hisashi Matsumoto; Kunihiro Mashiko; Yoshiaki Hara; Noriyoshi Kutsukata; Yuichiro Sakamoto; Kenkichi Takei; Katsuhiro Kanemaru; Yoshiteru Tomita; Nobuyuki Saito; Takanori Yagi; Shinichiro Tetsu; Hiroaki Iida; Yukiko Masuda; Hiroyuki Koami; Hiroyuki Yokota is a Medicine article available to read on EtoBox.

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## Objective: We investigated whether emergency thoracotomy (et) performed in pre-hospital settings contributed to saving the lives of blunt trauma patients with impending or recent cardiac arrest. ## Methods: Eighty-one consecutive cardiac arrest patients with blunt trauma were performed et before or after arrival at the emergency department (ed). these were reviewed retrospectively and were classified into the following three groups: (1) an emergency field thoracotomy was performed (eft group, n=34); (2) a doctor dispatched to the scene, but the thoracotomy was performed in the ed (edt-a group, n=10); and (3) no doctor dispatched to the scene, and the thoracotomy was performed in the ed (edt-b group, n=37). the patients in the eft and edt-a groups were managed within the japanese helicopter emergency medical service system with a doctor dispatched to the scene. ## Result: The time between the arrival of the emt at the scene and the start of the thoracotomy was significantly shorter in the eft group than in the edt-b group (19.2+/-7.9 min vs. 30.7+/-6.8 min, p<0.001). in the eft group, the "icu admission" rate was significantly higher among the patients who experienced cardiac arr

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Author

Hisashi Matsumoto; Kunihiro Mashiko; Yoshiaki Hara; Noriyoshi Kutsukata; Yuichiro Sakamoto; Kenkichi Takei; Katsuhiro Kanemaru; Yoshiteru Tomita; Nobuyuki Saito; Takanori Yagi; Shinichiro Tetsu; Hiroaki Iida; Yukiko Masuda; Hiroyuki Koami; Hiroyuki Yokota

Publisher

Elsevier Science; Elsevier ; Elsevier BV (ISSN 0300-9572)

Published

2009

Language

EN

Field

Medicine (Health Sciences)