Chest trauma

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Chest trauma

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Overview

Chest trauma (or thoracic trauma) is a serious injury of the chest. Thoracic trauma is a common cause of significant disability and mortality. Thoracic injuries account for approximately 25% of all trauma-related deaths.

Classification

Chest trauma can be classified as blunt or penetrating. Blunt and penetrating injuries have different pathophysiologies and clinical courses. Most blunt injuries are managed with relatively simple interventions like intubation and mechanical ventilation and chest tube insertion. Diagnosis of blunt injuries may be more difficult and require additional investigations such as CT scanning. Penetrating injuries often require surgery, and complex investigations are usually not needed to come to a diagnosis. Patients with penetrating trauma may deteriorate rapidly, but may also recover much faster than patients with blunt injury.

Specific chest injuries

References

  • Bliss D, Silen M (2002). "Pediatric thoracic trauma". Crit Care Med 30 (11 Suppl): S409-15. PMID 12528782.
  • Feliciano DV, Rozycki GS (1999). "Advances in the diagnosis and treatment of thoracic trauma". Surg Clin North Am 79 (6): 1417-29. PMID 10625986.
  • Golden PA (2000). "Thoracic trauma". Orthop Nurs 19 (5): 37-45; quiz 45-7. PMID 11153385.

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Acknowledgement and Attribution Regarding Sources of Content

Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .