ReviewCritical care (London, England)2025
Improving decision-making for prehospital Resuscitative Thoracotomy in traumatic cardiac arrest: a data-driven approach.
Review in Critical care (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Resuscitative thoracotomy in traumatic cardiac arrest : Multisociety consensus recommendations for settings with a low prevalence of penetrating injuries.Wiener klinische Wochenschrift · 2026Pooled it
- Resuscitative thoracotomy in modern warfare: Experience from a Military-Civilian trauma system.The journal of trauma and acute care surgery · 2026Article
- Timing and outcomes of out-of-hospital traumatic cardiac arrest: results of a multicentre, retrospective cohort study.Resuscitation plus · 2026Article
- Impact of emergency medical services volume on outcomes and management in prehospital traumatic cardiac arrest: a retrospective cohort study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Prehospital Resuscitative Thoracotomy (RT) can be life-saving in traumatic cardiac arrest (TCA), particularly in patients with cardiac tamponade. Yet selecting who may benefit is challenging, as survival depends on two often uncertain factors: the underlying aetiology and the duration of arrest. Drawing on extensive prehospital RT experience, we propose a pragmatic framework based on two simple clinical surrogates. Injury location provides a useful surrogate for the likely cause of arrest, helping direct the initial resuscitation strategy, while presenting ECG rhythm offers a rapid marker of physiological viability when timelines are unclear. Combining these surrogates offers a practical decision aid: likely tamponade should prompt immediate RT when an organised rhythm is present, or when arrest duration is short even in asystole, while cases where tamponade is unlikely should prioritise transfusion and haemorrhage control, with RT reserved for those in whom tamponade is subsequently confirmed. This perspective highlights how simple bedside information, supported by governance, can guide timely, pathology-specific care and maximise the benefit of this life-saving intervention.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.