Resuscitative thoracotomy for pediatric trauma in Illinois, 1999 to 2009

Norman G. Nicolson*, Steven Schwulst, Thomas A. Esposito, Marie L. Crandall

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

12 Scopus citations


Background Outcomes in adults who undergo resuscitative thoracotomy are poor. Few studies have examined the procedure's use in pediatric trauma. Methods The Illinois State Trauma Registry was queried for thoracotomy performed in the emergency department from 1999 to 2009, for patients aged 0 to 15. Injury mechanism, vital signs, and mortality were examined while controlling for injury severity. Results Resuscitative thoracotomy was infrequently performed in pediatric trauma (n = 25; 2.3/year). Most patients had suffered penetrating injury. Patients who underwent resuscitative thoracotomy were in extremis, with only 17% demonstrating signs of life upon presentation. Although 6 patients (24%) survived initially, only 2 (8%) survived to hospital discharge. Conclusions Resuscitative thoracotomy was rarely performed in children in Illinois emergency departments. Survival is low for thoracotomy in the emergency department, but some patients who presented with penetrating injuries did have positive outcomes, supporting a continued role for the procedure in select cases.

Original languageEnglish (US)
Pages (from-to)720-723
Number of pages4
JournalAmerican journal of surgery
Issue number4
StatePublished - Oct 1 2015


  • Pediatric
  • Resuscitation
  • Thoracotomy
  • Trauma

ASJC Scopus subject areas

  • Surgery
  • General Medicine


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