Initial Considerations in the Management of Severe Thoracic Injury
The evaluation of thoracic injuries is only one aspect of the total assessment of a severely injured patient. Even though each patient represents a unique case with its own peculiarities and special problems, there is nevertheless a logical sequence of diagnostic and therapeutic procedures. Both diagnosis and therapy go hand in hand. As in the care and management of every severely injured patient, the basic principle of elective surgery — “first investigate and make the diagnosis, then treat the illness” — is a dangerous illusion. The most threatening situations and injuries must first be correctly recognized and then treated, even if only symptomatically.
KeywordsCardiac Tamponade Respiratory Insufficiency Subcutaneous Emphysema Thoracic Injury Tension Pneumothorax
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