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When is it appropriate to perform a prehospital thoracotomy?

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When is it appropriate to perform a prehospital thoracotomy?

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  1. Only in a battlefield situation (ie Iraq, Afghanistan or the like). Not only are the proper instruments not available but appropriate help/sterility/etc won't be there.

    And then of course you need to remember the medico-legal issues.

    (I'm a board certified Cardiothoracic Surgeon, in practice for 19 years)

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