Hemorrhage Control in Penetrating Cardiac Injury: A New Device Put to the Test in the Advanced Trauma Operative Management (ATOM) Course

JOURNAL TITLE: Panamerican Journal of Trauma, Critical Care & Emergency Surgery

Author
1. Estevao Pardi
2. Alan R Ziroldo
3. Jameel Ali
4. Andrew Beckett
ISSN
DOI
10.5005/jp-journals-10030-1233
Volume
8
Issue
1
Publishing Year
2019
Pages
5
Author Affiliations
    1. Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brazil
    1. Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brazil
    1. Royal Canadian Medical Services, Ottawa, Ontario, and McGill University, Montreal, Quebec, Canada
    1. Department of Surgery, St. Michael\'s Hospital, University of Toronto, Toronto, Ontario, Canada
  • Article keywords
    Cardiac, Device, Hemorrhage control, Trauma

    Abstract

    Objective: We recently developed a new device to temporize bleeding from penetrating cardiac injuries. To further understand the usefulness of the device, we put it to the test by less experienced physicians. Methods: General surgery residents participating in the “Advanced Trauma Operative Management (ATOM)” course tested the device. Each participant had to control bleeding from a cardiac injury in a swine. A questionnaire was completed and analyzed. Results: The number (n) of participants is 20; 95% of the participants stated that the device controlled the bleeding, 100% considered it easy to use, 80% of the participants had previously seen a cardiac injury, and 35% had experience using a hemorrhage control device in a human heart. Only 15% of the participants had sutured a human heart and 55% an animal heart; 90% responded that they would use the new device clinically. Conclusion: The new device was easy to use and effectively controlled the bleeding in penetrating cardiac injuries regardless of the level of experience of the physician.

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