hinds - crack the chest, get crucified
TRANSCRIPT
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Crack the Chest; Get Crucified.
Hinds
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What if you actually DO one…?
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Terminology• Urgent Thoracotomy • Emergency Department Thoracotomy • Emergency Thoracotomy
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Terminology• Urgent Thoracotomy • Emergency Department Thoracotomy • Emergency Thoracotomy
RESUSCITATIVE THORACOTOMY
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This talk contains no references.
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Are my intentions honorable?
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Patient Zero.
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Morbidity and Mortality meeting
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• Sycophants
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• Sycophants
• Supporters
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• Sycophants
• Supporters
• Skeptics
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• Sycophants
• Supporters
• Skeptics
• Wankers.
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Sycophants
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Supporters
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Skeptics
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Skeptics• “It’s a dramatic procedure, done by cowboys”
• “It’s futile”
• “These people never survive”
• “It should only be done by Cardiothoracics”
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Wankers.
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Wankers.Understand the evidence and intention,
….but criticize anyway
Or
Too stupid to understand
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#ResusWankers
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“The most difficult part of a Resuscitative Thoracotomy is
the decision to make the cut”
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“The most difficult part of a Resuscitative Thoracotomy is
the decision to make the cut”
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“The most difficult part of a Resuscitative Thoracotomy is
dealing with #ResusWankers ”
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“What a totalResus Wanker”
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Changing your institutions approach
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XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
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Don’t surprise the room
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Rules at the start• Don’t commit the patient to a thoracotomy
because of a duff anaesthetic
• If they do arrest, don’t dick about with a duff resuscitation attempt
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Why Clamshell?
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• Faster.• You can get at more stuff in there.
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Why Clamshell?
It’s not a proper resuscitative procedure if you can’t fit your head in it.
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“These guys never survive”
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Things to take home
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Things to take home• Prepare. Know the evidence.
.
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Things to take home• Prepare. Know the evidence. • Make your intentions honorable
.
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Things to take home• Prepare. Know the evidence. • Make your intentions honorable • Do it.
.
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Things to take home• Prepare. Know the evidence. • Make your intentions honorable • Do it.• Seek out the Skeptics.
.
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Things to take home• Prepare. Know the evidence. • Make your intentions honorable • Do it.• Seek out the Skeptics.
• Never allow a Wanker to bring you down.
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