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Penetrating traumatic arrest with tamponade — RCPSC EM MCQ

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HardResuscitation, procedures, airwayPenetrating traumatic arrest with tamponadeRCPSC EM

A 29-year-old man has penetrating chest trauma and loses pulses in the resuscitation bay. He had signs of life 3 minutes earlier, ultrasound shows pericardial fluid, and the trauma surgeon is present. What is the most appropriate next step?

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Correct answer: A — Resuscitative thoracotomy for suspected tamponade

ED thoracotomy can be appropriate for witnessed arrest from penetrating thoracic trauma with signs of life and suspected tamponade when expertise is available. Time from arrest is critical.

Reference: ATLS; Canadian trauma centre practice