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  • Title: Emergency department thoracotomy for pericardiac tamponade.
    Author: Lau CK, Chin HF, Ong FH, Eng KH.
    Journal: Singapore Med J; 2008 Dec; 49(12):e382-4. PubMed ID: 19122941.
    Abstract:
    A 31-year-old man with a penetrating chest injury presented acutely with pulseless electrical activity, as a result of a ventricular laceration causing pericardial tamponade. Emergency department thoracotomy was performed to release the tamponade and he was operated on immediately to repair the laceration. He subsequently survived and was discharged to a community hospital for rehabilitation. We present this case of penetrating cardiac injury in which the patient arrived in extremis and for which emergency department thoracotomy was performed, and we discuss the role of emergency thoracotomy, its indications and outcome indicators.
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