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7 Cards in this Set

  • Front
  • Back
Perimortem C-Section
-Incision from subxiphoid to pubic symphesis, find uterus
-Small incision to the lower uterus followed by scissors vertically until baby out
Thoracotomy
Decide quickly
-either open, bilateral chest tubes or close
Baptize with Betadine
Left arm up to patient's head
Cut under breast/pec curving into the armpit starting at the anterior axillary line (skin, SC tissue, fat)
Big scissors (Mayo) through intercostals and cut up to sternum and down to bed
Rib spreader with crossbar to the bed open 8-10 inches (ribs will break)
1 - Release tamponade (push the lung up, pickups and small scissors to nick the anterior part of the pericardium), if blood cut pericardium vertically and express the heart, extend clamshell incision, examine heart, plug the hole with your finger OR staple OR saline foley
2 - Control hemorrhage
-LUNG - crush lung until you can see the inferior pulmonary ligament, cut it, pull out lung and twist it
-INTERCOSTALS - pressure
-R chest tube or hand over to confirm no blood in R chest
3 - CPR - open chest CPR with 2 hands shelling, aortic cross-clamp (30m) with hand tracking chest wall to 1st tube
Cricothyrotomy equipment
Bougie
Scalpal
6 Tube
Thoracotomy indications
Penetrating trauma? Signs of life (reactive pupils, gag, rhythm on ECG, motion on EDE)
Blunt trauma? Died in front of you
Thoracotomy equipment
Equipment - Chest tube tray, scalpal, scissors
Baptize with Betadine
Perimortem C-Section equipment
Equipment - scalpal, scissors
Baptize with Betadine
Perimortem C-Section indications
24, 4, scalpal & scissors rule
-24 weeks (above the umbilicus)
-4 minutes (time to get baby out from mother's arrest)