August 24, 2026 · Emergency medicine journal : EMJ · DOI: 10.1136/emermed-2026-216110

Emergency thoracotomy: how to do it in 2026

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The authors aim to provide an updated, practical guide for performing emergency thoracotomy in pre-hospital and emergency department settings, reflecting advancements in practice since the original 2005 guide. They incorporate contemporary indications, survival windows, and operational considerations to enhance decision-making in this critical trauma intervention. This guide serves to equip clinicians with the necessary procedural steps and troubleshooting strategies for effective execution of emergency thoracotomy.

Adam Chesters, Michael Hughes, Erica Ley, Matthew O'Meara, Gareth Davies, Anil Hormis

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