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Objectives: Determine the frequency of the application of a diagnostic pericardial window in patients with open chest trauma (OCT) of the Emergency Medical Center (EMC) and, to compare the accuracy of the subxiphoid pericardial window (SPW) in the diagnosis of posttraumatic thoracic pathologies vs noninvasive methods (Ecopericardium—EP). Materials and methods: We performed a retrospective observational study covering the months of January to December of 2010 and the months of January to May of 2011. A total of 26 patients with open chest trauma and application of VPS were analyzed during the study period. The records from the ECM surgery ward were analyzed; the study is based on information from secondary sources, using methods of statistical representation. Results: Out of 322 cases of open chest trauma, 26 cases with undetermined ecopericardium (8.07%) were analyzed. In such cases and using as a secondary diagnostic method VPS, 22 were positive (84.61%) avoiding severe heart damage with possible fatal bypass of these and unnecessary thoracotomy in the remaining four people (15.39%). Conclusion: The diagnostic application of subxiphoid pericardial window (SPW) useful to determine cardiac lesions with vital compromise vs a non-invasive diagnostic test (ecopericardio) with inconclusive results.

Aplicación de Ventana Pericárdica Subxifoidea en Traumas de Tórax Abiertos en Pacientes de Sala de Urgencias del Centro de Emergencias Médicas