Transcervical bedside brachiocephalic trunk clamping as a technique to reduce exsanguination from injuries to the upper right torso David Perez, MD,

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Presentation transcript:

Transcervical bedside brachiocephalic trunk clamping as a technique to reduce exsanguination from injuries to the upper right torso David Perez, MD, PhD, Jose Ramon Cano, MD, Luis Lopez, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 151, Issue 5, Pages 1424-1425 (May 2016) DOI: 10.1016/j.jtcvs.2015.12.008 Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Using the finger to identify and bluntly dissect the brachiocephalic artery at its origin. The Journal of Thoracic and Cardiovascular Surgery 2016 151, 1424-1425DOI: (10.1016/j.jtcvs.2015.12.008) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A long vascular clamp was placed, guided by palpation, in the emergency department. The Journal of Thoracic and Cardiovascular Surgery 2016 151, 1424-1425DOI: (10.1016/j.jtcvs.2015.12.008) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 The patient was transported, with the closed clamp in place (A), to the operating room for definitive hemostatic procedures through the thoracotomy (B). The Journal of Thoracic and Cardiovascular Surgery 2016 151, 1424-1425DOI: (10.1016/j.jtcvs.2015.12.008) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Using the finger to identify and bluntly dissect the brachiocephalic artery at its origin. The Journal of Thoracic and Cardiovascular Surgery 2016 151, 1424-1425DOI: (10.1016/j.jtcvs.2015.12.008) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions