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Clamshell Thoracotomy

Last modified: 25 August 2022, 4:38:41 PM AEST

Gems1 / 4

Bilateral anterior thoracotomy
Resuscitative thoracotomy

Indications2 / 4

Arrest
Penetrating injury
10 minutes
Expected injuries\n
- Tamponade
- Cardiac laceration
- Great vessel laceration
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Technique / description3 / 4

4th or 5th intercostal space
Connect the 2 thoracostomies in the MAL
Sternum = heavy scissors, trauma shears, Gigli saw
Once in\n
- Always open pericardium
- Inspect heart
- Internal cardiac compressions
- Cross clamp aorta
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References4 / 4

https://rebelem.com/if-youre-going-to-do-the-thoracotomydo-a-clamshell/

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