December 8, 2025South African Medical JournalOpen Access

Outcomes of emergency resuscitative thoracotomies in a trauma unit in Johannesburg, South Africa

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Authors

RPRudo Mutsa Vanessa PswarayiUniversity of the Witwatersrand CBChristopher J. BurnsUniversity of the Witwatersrand DWDevorah WinebergUniversity of the Witwatersrand

Discussion

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Implication

Prospective audit reveals high mortality rate in 19 patients receiving emergency resuscitative thoracotomies, indicating challenges in resource-constrained environments.

Key Points

High mortality rate observed, with only one of 19 patients surviving after emergency resuscitative thoracotomies.
Shorter intervals between fluid resuscitation and thoracotomy contributed to improved survival in trauma patients.
Prospective audit across a level 1 trauma unit in Johannesburg highlights challenges of severe haemorrhage and trauma care.
Emphasizes need for further studies in developing countries to enhance survival through better ERT techniques.

Cite This Study

Pswarayi et al. (2025) studied this question.

synapsesocial.com/papers/694020e22d562116f28fab24 https://doi.org/10.7196/samj.2025.v115i11.2963

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Implication

Prospective audit reveals high mortality rate in 19 patients receiving emergency resuscitative thoracotomies, indicating challenges in resource-constrained environments.