Thoracic trauma: when and how to intervene.
Trauma is the leading cause of death in patients younger than 40 years of age. Thoracic injuries are common and often can be managed by tube thoracostomy. In many patients, however, the thoracic injuries must be repaired surgically in one of three time periods: immediate, urgent, or delayed thoracotomy. In this article, we describe the general approach to effectively managing thoracic trauma patients. We review common injuries and scenarios that may be encountered by the surgeon and discuss the considerations and variables that enter into the decision-making process for operative intervention.
Meredith
J Wayne
JW
Department of General Surgery, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157, USA. merediw@wfubmc.edu
Hoth
J Jason
JJ
D001013:Aorta, Thoracic / Q000293:injuries; D001980:Bronchi / Q000293:injuries; D004632:Emergency Medical Services; D004947:Esophagus / Q000293:injuries; D006335:Heart Injuries / Q000601:surgery; D006801:Humans; D055370:Lung Injury; D010491:Pericardial Window Techniques; D013348:Subclavian Artery / Q000293:injuries; D013898:Thoracic Injuries / Q000601:surgery*; D013908:Thoracotomy / Q000379:methods*; D014132:Trachea / Q000293:injuries; D014949:Wounds, Nonpenetrating / Q000628:therapy