Thoracic Trauma: Current Approach in Emergency Medicine. in Clinics and practice / Clin Pract. 2024 Sep 10;14(5):1869-1885. doi: 10.3390/clinpract14050148.

2024
AOU Alessandria

Tipo pubblicazione

Review

Autori/Collaboratori (14)Vedi tutti...

Caputo G
Division of Anesthesia and Critical Care, Santi Antonio e Biagio e Cesare Arrigo Hospital, 15121 Alessandria, Italy.
Meda S
Division of Thoracic Surgery, Santi Antonio e Biagio e Cesare Arrigo Hospital, 15121 Alessandria, Italy.
Piccioni A
Department of Emergency Medicine, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy.

et alii...

Abstract

Chest trauma is the leading cause of death in people under 40. It is estimated to cause around 140,000 deaths each year. The key aims are to reduce mortality and the impact of associated complications to expedite recovery and to restore patient's conditions. The recognition of lesions through appropriate imaging and early treatment already in the emergency department are fundamental. The majority can be managed in a non-surgical way, but especially after traumatic cardiac arrest, a surgical approach is required. One of the most important surgical procedures is the Emergency Department Thoracotomy (EDT). The aim of this review is to provide a comprehensive synthesis about the management of thoracic trauma, the surgical procedures, accepted indications, and technical details adopted during the most important surgical procedures for different thoracic trauma injuries. Literature from 1990 to 2023 was retrieved from multiple databases and reviewed. It is also important to emphasize the medico-legal implications of this type of trauma, both from the point of view of collaboration with the judicial authority and in the prevention of any litigation.

Accesso banca dati bibliografica

PMID : 39311298

DOI : 10.3390/clinpract14050148

Keywords

blunt injury; critical care; emergency department thoracotomy; penetrating injury; prehospital thoracotomy; risk management; surgery; thoracic blunt and penetrating trauma; thoracic trauma;