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Thoracic Injury

  • Dong Kwan KimEmail author
  • Geun Dong Lee
Chapter

Abstract

Thoracic trauma accounts for 20–25% of all trauma-related deaths [1, 2]. Prompt assessment and immediate treatment can reduce the mortality rate. Initial evaluation and treatment of the patient include the primary survey, resuscitation, a detailed secondary survey, and definitive treatments. Most treatments are available without surgery if implemented quickly. Therefore, the clinicians should be well informed of assessment and treatment in advance for prompt and accurate management.

Notes

Acknowledgments

We would like to thank Dr. Dae Sung Ma and Hong Jun Bae for their photographic materials and Byung Kwon Chong, Yong Ho Jeong, Yooyoung Chong, Jae Kwang Yun, and Wayne Ser for the English proofreading.

References

  1. 1.
    LoCicero J 3rd, Mattox KL. Epidemiology of chest trauma. Surg Clin North Am. 1989;69(1):15–9.CrossRefPubMedGoogle Scholar
  2. 2.
    Richardson JD, Franklin GA, Heffley S, Seligson D. Operative fixation of chest wall fractures: an underused procedure? Am Surg. 2007;73(6):591–6; discussion 6–7.PubMedGoogle Scholar
  3. 3.
    Dev SP, Nascimiento B Jr, Simone C, Chien V. Videos in clinical medicine. Chest-tube insertion. N Engl J Med. 2007;357(15):e15.CrossRefPubMedGoogle Scholar
  4. 4.
    Freedland M, Wilson RF, Bender JS, Levison MA. The management of flail chest injury: factors affecting outcome. J Trauma. 1990;30(12):1460–8.CrossRefPubMedGoogle Scholar
  5. 5.
    Velmahos GC, Vassiliu P, Chan LS, Murray JA, Berne TV, Demetriades D. Influence of flail chest on outcome among patients with severe thoracic cage trauma. Int Surg. 2002;87(4):240–4.PubMedGoogle Scholar
  6. 6.
    Balci AE, Eren S, Cakir O, Eren MN. Open fixation in flail chest: review of 64 patients. Asian Cardiovasc Thorac Ann. 2004;12(1):11–5.CrossRefPubMedGoogle Scholar
  7. 7.
    Bemelman M, de Kruijf MW, van Baal M, Leenen L. Rib fractures: to fix or not to fix? An evidence-based algorithm. Korean J Thorac Cardiovasc Surg. 2017;50(4):229–34.CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    de Moya M, Nirula R, Biffl W. Rib fixation: who, what, when? Trauma Surg Acute Care Open. 2017;2(1):e000059.CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Lewis G, Knottenbelt JD. Should emergency room thoracotomy be reserved for cases of cardiac tamponade? Injury. 1991;22(1):5–6.CrossRefPubMedGoogle Scholar
  10. 10.
    Mejia JC, Stewart RM, Cohn SM. Emergency department thoracotomy. Semin Thorac Cardiovasc Surg. 2008;20(1):13–8.CrossRefPubMedGoogle Scholar
  11. 11.
    Alexander RH, Proctor HJ, American College of Surgeons. Committee on Trauma. Advanced trauma life support program for physicians : ATLS. 5th ed. Chicago: American College of Surgeons; 1993.Google Scholar
  12. 12.
    Working Group AHSoOACoSCoT. Practice management guidelines for emergency department thoracotomy. Working Group, Ad Hoc Subcommittee on Outcomes, American College of Surgeons-Committee on Trauma. J Am Coll Surg. 2001;193(3):303–9.CrossRefGoogle Scholar
  13. 13.
    Simms ER, Flaris AN, Franchino X, Thomas MS, Caillot JL, Voiglio EJ. Bilateral anterior thoracotomy (clamshell incision) is the ideal emergency thoracotomy incision: an anatomic study. World J Surg. 2013;37(6):1277–85.CrossRefPubMedGoogle Scholar
  14. 14.
    Wise D, Davies G, Coats T, Lockey D, Hyde J, Good A. Emergency thoracotomy: “how to do it”. Emerg Med J. 2005;22(1):22–4.CrossRefPubMedPubMedCentralGoogle Scholar
  15. 15.
    Collins CD, Lopez A, Mathie A, Wood V, Jackson JE, Roddie ME. Quantification of pneumothorax size on chest radiographs using interpleural distances: regression analysis based on volume measurements from helical CT. AJR Am J Roentgenol. 1995;165(5):1127–30.CrossRefPubMedGoogle Scholar
  16. 16.
    Sisley AC, Rozycki GS, Ballard RB, Namias N, Salomone JP, Feliciano DV. Rapid detection of traumatic effusion using surgeon-performed ultrasonography. J Trauma. 1998;44(2):291–6; discussion 6–7.CrossRefPubMedGoogle Scholar
  17. 17.
    Brown PF 3rd, Larsen CP, Symbas PN. Management of the asymptomatic patient with a stab wound to the chest. South Med J. 1991;84(5):591–3.PubMedGoogle Scholar
  18. 18.
    Sellke FW, Del Nido PJ, Swanson SJ. Sabiston & Spencer surgery of the chest. 9th ed. Philadelphia: Elsevier; 2016. 2 volumes (xxix, 2410, 48 pages) p.Google Scholar
  19. 19.
    Bastos R, Calhoon JH, Baisden CE. Flail chest and pulmonary contusion. Semin Thorac Cardiovasc Surg. 2008;20(1):39–45.CrossRefPubMedGoogle Scholar
  20. 20.
    Foil MB, Mackersie RC, Furst SR, Davis JW, Swanson MS, Hoyt DB, et al. The asymptomatic patient with suspected myocardial contusion. Am J Surg. 1990;160(6):638–42; discussion 42–3.CrossRefPubMedGoogle Scholar
  21. 21.
    Sybrandy KC, Cramer MJ, Burgersdijk C. Diagnosing cardiac contusion: old wisdom and new insights. Heart. 2003;89(5):485–9.CrossRefPubMedPubMedCentralGoogle Scholar
  22. 22.
    Mattox KL. Approaches to trauma involving the major vessels of the thorax. Surg Clin North Am. 1989;69(1):77–91.CrossRefPubMedGoogle Scholar
  23. 23.
    Rousseau H, Elaassar O, Marcheix B, Cron C, Chabbert V, Combelles S, et al. The role of stent-grafts in the management of aortic trauma. Cardiovasc Intervent Radiol. 2012;35(1):2–14.CrossRefPubMedGoogle Scholar
  24. 24.
    Shah R, Sabanathan S, Mearns AJ, Choudhury AK. Traumatic rupture of diaphragm. Ann Thorac Surg. 1995;60(5):1444–9.CrossRefPubMedGoogle Scholar
  25. 25.
    Al-Refaie RE, Awad E, Mokbel EM. Blunt traumatic diaphragmatic rupture: a retrospective observational study of 46 patients. Interact Cardiovasc Thorac Surg. 2009;9(1):45–9.CrossRefPubMedGoogle Scholar
  26. 26.
    Bryant AS, Cerfolio RJ. Esophageal trauma. Thorac Surg Clin. 2007;17(1):63–72.CrossRefPubMedGoogle Scholar
  27. 27.
    Bastos RB, Graeber GM. Esophageal injuries. Chest Surg Clin N Am. 1997;7(2):357–71.PubMedGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  1. 1.Department of Thoracic and Cardiovascular SurgeryAsan Medical Center, University of Ulsan College of MedicineSeoulSouth Korea

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