Talk:Resuscitative thoracotomy

A fact from Resuscitative thoracotomy appeared on Wikipedia's Main Page in the Did you know column on 10 January 2013 (check views). The text of the entry was as follows:

Did you know... that resuscitative thoracotomy revives only 10% of people with blunt trauma who receive it?

A record of the entry may be seen at Wikipedia:Recent additions/2013/January. The nomination discussion and review may be seen at Template:Did you know nominations/Resuscitative thoracotomy.

Wikipedia

Medicine: Emergency Low‑importance

	Medicine portal This article is within the scope of WikiProject Medicine, which recommends that medicine-related articles follow the Manual of Style for medicine-related articles and that biomedical information in any article use high-quality medical sources. Please visit the project page for details or ask questions at Wikipedia talk:WikiProject Medicine.MedicineWikipedia:WikiProject MedicineTemplate:WikiProject Medicinemedicine articles
Low	This article has been rated as Low-importance on the project's importance scale.
	This article is supported by the Emergency medicine and EMS task force (assessed as Mid-importance).

Thoracic trauma[edit]

I don't know what the reference says, but the notion that 15% of people with thoracic trauma get a thoracotomy is absurd, needs to be revised. I'm not familiar enough with wikipedia to edit main pages yet though, hope someone else can do it. Sakeynes (talk) 23:29, 26 February 2013 (UTC)[reply]

Double checked the citation and it confirms that the statement is correct.Peter.C • talk • contribs 03:24, 27 February 2013 (UTC)[reply]

Is it possible for you to include the quotation in this talk page? I am wondering if it is possible that thoracotomy in general or thoracostomy is being misinterpreted as resuscitative thoractomy as even major trauma centers that process thousands of patients have a handful of actual resuscitative thoractomies each year. Koppertone (talk) 20:15, 9 February 2016 (UTC)[reply]

I believe this needs to be revisited. Some of the citations are outdated and/or used incorrectly. It's unclear which of Moore's 2012 publications is being used to make the following claims in the article:

"For most persons with thoracic trauma the procedure is not necessary; only 15% of those with thoracic injury require the procedure" and "Usually those who undergo resuscitative thoracotomy do not recover—only 10% of those receiving it after sustaining a blunt injury and 15–30% of those with penetrating trauma survive" Both stats are way off. For example, the 2012 WEST algorithm on resuscitative thoracotomy (which by the way, Moore is a co-author) notes a survival of 1-2% depending on whether performed on a patient in shock or with no vital signs. (https://westerntrauma.org/documents/PublishedAlgorithms/WTACriticalDecisionsResuscitativeThoracotomy.pdf) 2015 EAST guidelines show similar numbers of 2.3% survival for blunt trauma (https://www.east.org/education/practice-management-guidelines/emergency-department-thoracotomy). Pertaining to the prevalence of resuscitative thoracotomy, I agree with the above statement that the one citing that it occurs in 15% of chest traumas may be confusing it with "thoracostomy". This would be more consistent with the realities of trauma care. — Preceding unsigned comment added by 71.92.129.122 (talk) 05:28, 1 March 2020 (UTC)[reply]