A teenager is brought in s/p gsw to the L chest. He is pulseless and unresponsive. The monitor shows vfib. What do you do?
Jacobi / Montefiore Emergency Medicine Residency
Jacobi / Montefiore Emergency Medicine Residency
A teenager is brought in s/p gsw to the L chest. He is pulseless and unresponsive. The monitor shows vfib. What do you do?
ED thoracotomy?
ABC’s, Secure the airway, continue CPR, get IV access. ACLS algorithims while also giving a unit of O+ on rapid infuser
Confirm if pt had pulses or how long CPR has been ongoing prior to arrival to determine if pt is a good candidate for thoracotomy