How an emergency clamshell thoracotomy works

The procedure opens up the entire ribcage and can give medics access a patient’s heart in 60-90 seconds

Clamshell

incision

1

Incision is made across the ribcage, slicing through skin and muscles. The chest is then prised open, like a clamshell. This technique is a last-ditch move, reserved for victims of the most lethal shootings and stabbings

Rib spreaders

Heart

Open chest

along incision

2

The heart and lungs are revealed, giving medics a chance to reduce pressure from internal bleeding, stem the flow to wounds, or put a stitch on the heart itself. It is a last chance to bring a dying patient back to life

The procedure opens up the entire ribcage and can

give medics access a patient’s heart in 60-90 seconds

Rib spreaders

Heart

Clamshell

incision

Open chest

along incision

1

Incision is made across the ribcage, slicing through skin and muscles. The chest is then prised open, like a clamshell. This technique is a last-ditch move, reserved for victims of the most lethal shootings and stabbings

2

The heart and lungs are revealed, giving medics a chance to reduce pressure from internal bleeding, stem the flow to wounds, or put a stitch on the heart itself. It is a last chance to bring a dying patient back to life