Chest trauma


Chest trauma
Chest trauma
Classification and external resources

A CT scan of a pneumothorax
eMedicine med/2916 med/3658
MeSH D013898

Chest trauma (or thoracic trauma) is a serious injury of the chest. Thoracic trauma is a common cause of significant disability and mortality, the leading cause of death from physical trauma after head and spinal cord injury.[1] Blunt thoracic injuries are the primary or a contributing cause of about a quarter of all trauma-related deaths.[1] The mortality rate is about 10%.[2] Chest injuries were first described in detail in around 1600 BC in the ancient Egyptian Edwin Smith Papyrus.[3]

Contents

Classification

A chest X-ray of a right sided pulmonary contusion associated with flail chest and subcutaneous emphysema

Chest trauma can be classified as blunt or penetrating. Blunt and penetrating injuries have different pathophysiologies and clinical courses.

Specific types of chest trauma include:

Diagnosis

Most blunt injuries are managed with relatively simple interventions like tracheal 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.

References

  1. ^ a b Keough V, Pudelek B (2001). "Blunt chest trauma: Review of selected pulmonary injuries focusing on pulmonary contusion". AACN Clinical Issues 12 (2): 270–281. doi:10.1097/00044067-200105000-00010. PMID 11759554. http://meta.wkhealth.com/pt/pt-core/template-journal/lwwgateway/media/landingpage.htm?issn=1079-0713&volume=12&issue=2&spage=270. 
  2. ^ Moloney JT, Fowler SJ, Chang W (February 2008). "Anesthetic management of thoracic trauma". Current Opinion in Anaesthesiology 21 (1): 41–46. doi:10.1097/ACO.0b013e3282f2aadc. PMID 18195608. 
  3. ^ Miller DL, Mansour KA (2007). "Blunt traumatic lung injuries". Thoracic Surgery Clinics 17 (1): 57–61. doi:10.1016/j.thorsurg.2007.03.017. PMID 17650697. 

External links


Wikimedia Foundation. 2010.

Look at other dictionaries:

  • Trauma (medicine) — For other uses, see Trauma. Trauma Classification and external resources …   Wikipedia

  • Chest — This article is about the anatomical term. For other uses, see Chest (disambiguation). Chest Chest anatomy …   Wikipedia

  • Trauma surgery — Trauma surgeons are physicians (MBBS, MBChB, MB, MD) or (DO) who have completed residency training in general surgery and fellowship training in trauma or surgical critical care. The trauma surgeon is responsible for the initial resuscitation and …   Wikipedia

  • Chest tube — Intervention The free end of the Chest Drainage Device is usually attached to an underwater seal, below the level of the chest. This allows the air or fluid to escape from the pleural space, and prevents anything returning to the chest …   Wikipedia

  • [chest x-ray findings] — trauma, traumatic …   Medical dictionary

  • Chest X-ray — A chest X ray, commonly abbreviated CXR, is a projection radiograph (X ray), taken by a radiographer, of the thorax which is used to diagnose problems with that area. The typical radiation dose to an adult from a chest x ray is around 0.06 mSv (6 …   Wikipedia

  • Trauma (comics) — Superherobox| caption=Trauma. Art by Stefano Caselli. character name=Trauma real name=Terrence Ward species=Human mutate publisher=Marvel Comics debut= #1 (March, 2007) creators=Dan Slott Stefano Caselli alliances= Shadow Initiative aliases=… …   Wikipedia

  • Penetrating trauma — Infobox Disease Name = Penetrating trauma Caption = DiseasesDB = ICD10 = ICD10|T|14|1|t|08 ICD9 = ICDO = OMIM = MedlinePlus = eMedicineSubj = eMedicineTopic = MeshID = Penetrating trauma is an injury that occurs when an object pierces the skin… …   Wikipedia

  • Flail chest — Classification and external resources A chest radiograph of a flail chest associated with right sided pulmonary contusion and subcutaneous emphysema ICD 10 …   Wikipedia

  • Ballistic trauma — Classification and external resources Male skull showing bullet exit wound on parietal bone, 1950s. ICD 10 T …   Wikipedia


Share the article and excerpts

Direct link
Do a right-click on the link above
and select “Copy Link”

We are using cookies for the best presentation of our site. Continuing to use this site, you agree with this.