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I can see an escharotomy being authorized at some point in the future, but somehow I don't see "cracking the chest" being authorized specifically for the purpose of doing internal cardiac massage... however I can see teaching ICM for the purpose of restoring circulation if the heart is already exposed. I can also see that in such an instance, the possibility is strong that it would likely be a futile effort...Halos, along with nitrous oxide, in the field were being expounded around 1980.
We had someone here a couple years ago say his service would allow them to open the chest in the field. Booed off.