The majority of thoracic injuries involve peripheral lung damage, are diagnosed clinically and with plain chest radiology and can be managed non-operatively.
CT angiography is the gold standard for assessing blunt thoracic trauma.
Displaced rib fractures, flail chest and sternal fractures are associated with major intrathoracic injuries.
Central injuries are associated with a substantial increase in the need for surgery and confer greater morbidity and mortality.
Emergency room thoracotomy should only be performed for penetrating trauma.
KeywordsAortic Injury Thoracic Trauma Left Main Bronchus Tension Pneumothorax Diaphragmatic Rupture
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