Emergency management of penetrating chest trauma

2016 ◽  
Vol 7 (21) ◽  
pp. 6-14
Keyword(s):  
Emergency Management ◽  
Chest Trauma ◽  
Penetrating Chest Trauma

scholarly journals HEMOTHORAX FOLLOWING PENETRATING THORACIC INJURY (GUNSHOT WOUND) IN GERIATRIC PATIENT: A CASE REPORT AND EMERGENCY MANAGEMENT

2021 ◽  
Vol 3 (2) ◽  
pp. 69-77
Author(s):  
Gerardo Laksono ◽  
◽  
Ferdinand Erwin ◽  
Dyana Sarvasti ◽  
Paul Tahalele ◽  
...  
Keyword(s):  
Case Report ◽  
Emergency Management ◽  
Chest Tube ◽  
Chest Trauma ◽  
Thoracic Injury ◽  
Posterolateral Thoracotomy ◽  
Tube Insertion ◽  
Penetrating Chest Trauma ◽  
Future Treatment ◽  
Air Rifle

Introduction: Penetrating chest trauma is highly lethal. Studies have reported up to 60% mortality depending on the mechanism of injury. While penetrating chest trauma is less common than blunt trauma, it can be more deadly. High-velocity gunshot injury resulting in penetrating thoracic trauma in geriatric patients poses a significant challenge for the traumatic surgeon. Hemothorax is usually a consequence of penetrating chest trauma. It can be caused by intercostal arterial bleeding, especially the posterior part. Initial treatment, including chest tube drainage insertion, is needed to avoid lung compression and to assess future treatment needed. Purpose: To report the patient survival from massive hemothorax caused by penetrating Thoracic injury caused by an air rifle, treated by chest tube insertion and posterolateral thoracotomy to take out the bullet several days after. Case Report: 70-year male patient came to the Emergency Room (ER) Adihusada Hospital Surabaya with a penetrating chest injury caused by an air rifle on the right side of the chest. The patient had chest pain, shortness of breath, and hypoxia. By inserting a chest tube, emergency management was done by a general surgeon due to the massive right hemothorax. An immediate chest tube insertion was needed to overcome the patient’s breathing problem to assess the future treatment needed. Chest X-ray and CT-Scan was done immediately after the patient’s hemodynamic were stable. Three days after hospitalizing, the Cardiothoracic and vascular surgeon performed posterolateral thoracotomy to take the bullet out of the chest. Conclusion: Seven days postoperatively, the patient was discharged from the hospital without any complications and stable hemodynamic. The patient went to the outpatient department for follow-up one week after.

A Fortunate Survival Following a Severe Penetrating Chest Trauma

2014 ◽  
Vol 23 (3) ◽  
pp. e111
Author(s):  
Yassine Ouadnouni ◽  
Brahim Boukatta ◽  
Abderrahim El bouazzaoui ◽  
Jamal Ghalimi ◽  
Marouane Lakranbi ◽  
...  
Keyword(s):  
Chest Trauma ◽  
Penetrating Chest Trauma

Unusual Delayed Manifestation of a Penetrating Chest Trauma

2006 ◽  
Vol 32 (4) ◽  
pp. 396-398 ◽  
Author(s):  
Arie Eisenman ◽  
Alicia Vasan ◽  
Lemer Joseph ◽  
Dan Aravot
Keyword(s):  
Chest Trauma ◽  
Penetrating Chest Trauma

Penetrating Chest Trauma

2019 ◽  
pp. 627-629
Author(s):  
Melissa Linskey ◽  
Steven R. Allen
Keyword(s):  
Chest Trauma ◽  
Penetrating Chest Trauma

scholarly journals An unusual aetiology of ‘collapse query cause’: penetrating chest trauma

2015 ◽  
Vol 15 (Suppl 3) ◽  
pp. s14-s14
Author(s):  
Rachel Yong ◽  
William Eysenck ◽  
Eiry Edmunds
Keyword(s):  
Chest Trauma ◽  
Penetrating Chest Trauma
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