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Trauma thoracotomy
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== Indications for urgent OT thoracotomy (not ED thoracotomy) == * Massive haemothorax (>1500mL bloody pleural effusion or >200ml/hr for first 4 hours) * Penetrating truncal trauma and need for proximal vascular control * Cardiac tamponade/haemopericardium on USS * Acute haemodynamic deterioration and arrest in the trauma centre * Massive air leak from chest tube * Radiological indications: ** Demonstration of tracheal or bronchial injury ** Oesophageal injury ** Great vessel injury
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