Critical Decisions in the Management of Thoracic Trauma.

Emerg Med Clin North Am

Division of Trauma and Surgical Critical Care, LAC+USC Medical Center, University of Southern California, 2051 Marengo Street, IPT C5L100, Los Angeles, CA 90033, USA. Electronic address:

Published: February 2018

AI Article Synopsis

  • Traumatic injuries to the chest area often occur from blunt or penetrating forces, requiring prompt medical attention.
  • Emergency medicine physicians need to be skilled in quick resuscitation and diagnostics, including using various imaging methods and performing procedures like resuscitative thoracotomy.
  • The article focuses on how to effectively assess and treat patients with thoracic injuries, covers imaging techniques, outlines common procedures, and highlights when surgical intervention is necessary, stressing the importance of fast decision-making in critical situations.

Article Abstract

Traumatic injuries to the thorax are common after both blunt and penetrating trauma. Emergency medicine physicians must be able to manage the initial resuscitation and diagnostic workup of these patients. This involves familiarity with a range of radiologic investigations and invasive bedside procedures, including resuscitative thoracotomy. This knowledge is critical to allow for rapid decision making when life-threatening injuries are encountered. This article explores the initial resuscitation and assessment of patients after thoracic trauma, discusses available imaging modalities, reviews frequently performed procedures, and provides an overview of the indications for operative intervention, while emphasizing the critical decision making throughout.

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Source
http://dx.doi.org/10.1016/j.emc.2017.08.008DOI Listing

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