• Emerg. Med. Clin. North Am. · Feb 2018

    Review

    Critical Decisions in the Management of Thoracic Trauma.

    • Morgan Schellenberg and Kenji Inaba.
    • 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.
    • Emerg. Med. Clin. North Am. 2018 Feb 1; 36 (1): 135-147.

    AbstractTraumatic 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.Copyright © 2017 Elsevier Inc. All rights reserved.

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