Book contents
- Practical Emergency Resuscitation and Critical Care
- Practical Emergency Resuscitation and Critical Care
- Copyright page
- Contents
- Contributors
- Preface
- Section 1 General Critical Care
- Section 2 Infectious Disease Emergencies
- Section 3 Neurological Emergencies
- Section 4 Cardiovascular Emergencies
- Section 5 Respiratory Emergencies
- Section 6 Gastrointestinal Emergencies
- Section 7 Renal Emergencies
- Section 8 Hematology–Oncology Emergencies
- Section 9 Endocrine Emergencies
- Section 10 Environmental Emergencies
- Section 11 Trauma
- 47 General Trauma Principles
- 48 Severe Traumatic Brain Injury
- 49 Neck Trauma
- 50 Thoracic Trauma
- 51 Solid Organ Abdominal Trauma
- 52 Severe Pelvic Trauma
- 53 Soft Tissue Injury
- 54 Burn Resuscitation
- Section 12 End of Life
- Index
- References
50 - Thoracic Trauma
from Section 11 - Trauma
Published online by Cambridge University Press: 02 November 2023
Book contents
- Practical Emergency Resuscitation and Critical Care
- Practical Emergency Resuscitation and Critical Care
- Copyright page
- Contents
- Contributors
- Preface
- Section 1 General Critical Care
- Section 2 Infectious Disease Emergencies
- Section 3 Neurological Emergencies
- Section 4 Cardiovascular Emergencies
- Section 5 Respiratory Emergencies
- Section 6 Gastrointestinal Emergencies
- Section 7 Renal Emergencies
- Section 8 Hematology–Oncology Emergencies
- Section 9 Endocrine Emergencies
- Section 10 Environmental Emergencies
- Section 11 Trauma
- 47 General Trauma Principles
- 48 Severe Traumatic Brain Injury
- 49 Neck Trauma
- 50 Thoracic Trauma
- 51 Solid Organ Abdominal Trauma
- 52 Severe Pelvic Trauma
- 53 Soft Tissue Injury
- 54 Burn Resuscitation
- Section 12 End of Life
- Index
- References
Summary
Trauma to the thorax is often categorized as penetrating (i.e., gunshot wound, stab wound) or blunt (i.e., motor vehicle collision, fall). Bedside ultrasound is useful in the initial assessment of the patient with chest trauma to rapidly evaluate for pneumothorax and pericardial effusion as part of the extended focused assessment with sonography in trauma (eFAST).
Penetrating injuries to “the box” (the area defined by the clavicles superiorly, nipple lines laterally, and costal margins inferiorly) are of particular concern because of the high likelihood of injury to the heart and mediastinal structures. The diaphragm may elevate as high as the fourth intercostal space on exhalation, so concurrent abdominal injury must be considered when penetrating trauma is located at or below the fourth intercostal space.
- Type
- Chapter
- Information
- Practical Emergency Resuscitation and Critical Care , pp. 538 - 551Publisher: Cambridge University PressPrint publication year: 2023
References
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