Weingart: Crack to Cure

Monday, 18 November 13

The CaseMonday, 18 November 13

Disclaimer:I am not a

trauma surgeonMonday, 18 November 13

I am not atrauma surgeon


Who?


(J Trauma 73(6), December 2012, p 1359–1363)Monday, 18 November 13

Penetratingsigns of life

Bluntdies in front of you


Decide &Decide Quicklybecause ACLS doesn’t work

in trauma arrest


"Take your time in a hurry"

-–Doc Holiday


“Slow is SmoothSmooth is Fast"

–-Sergeant Alvin York


TwoTeams


Baptize with Betadine


Get the arm out of the way


While you are about to cut into the chest


From the Michael McGonigalMonday, 18 November 13

Embedded from youtubeMonday, 18 November 13

Now What…1. Relief of Tamponade2. Intrathoracic Hemorrhage

Control3. CPR & Hemodynamic

Augmentation


TamponadeHemorrhage

CPR


Check for Tamponade


Let’s pretend it’s negative


IntrathoracicHemorrhage


Pulmonary


Head

FeetMonday, 18 November 13

Intercostal


Great Vessels


CPR and Hemodynamic Augmentation


AorticCross-Clamp?


A Hole in the Heart


From Kings Cross TV ProgramMonday, 18 November 13

"A surgeon who tries to suture a heart wound

deserves to lose the esteem of his colleagues.“

--Billroth


"An ED Doc who tries to suture a heart wound

deserves to lose the esteem of his

colleagues.“--Weingart


Put your finger ON (not in), on the hole


Controversies


(J Trauma 73(6), December 2012, p 1359–1363)Monday, 18 November 13

The CaseMonday, 18 November 13

CracktoCure


Health & Medicine