scholarly journals Thorax Gunshot and Sharp Cutting Tool Injuries: For 5 Months Nyala Experiences

2020 ◽  
Author(s):  
Hüseyin Fatih SEZER ◽  
Hakan DAYANIR
Keyword(s):  
Thoracic Trauma ◽  
Cutting Tool ◽  
Tube Thoracostomy ◽  
Trauma Patients ◽  
Thoracic Injuries ◽  
Mortality And Morbidity ◽  
Surgical Interventions ◽  
Minimal Morbidity ◽  
Penetrating Thoracic Trauma ◽  
Post Traumatic

Background: The two most common causes of penetrating thoracic trauma are firearm injuries and injuries by sharpened cutting tool. Penetrating thoracic injuries are risk factors for high mortality and morbidity, so they need to be diagnosed correctly and timely in order to perform an effective intervention. In this study, patients with penetrating thoracic trauma were treated through surgical intervention accompanying minimal morbidity–mortality  compared to literature, even though they were admitted relatively late. Methods: In this retrospective study, 29 gunshot and stab wounds penetrating thoracic trauma patients were admitted to the emergency department of Nyala Sudan Turkey Education and Research Hospital between April and September 2018. Results: Of the 29 patients, 7 (24.13%) were gunshot injuries and 22 (75.86%) were injured with a sharp cutting tool. While 13 of the cases (44.82%) were admitted on the day the incident took place, 5 of them (17.24%) were post-traumatic first day of the admission, 9 of them (31.03%) were post-traumatic day 2, whereas 1 of them (3.44%) was post-traumatic the third day of admission. Finally, 14 patients (48.28%) were followed-up conservatively without tube thoracostomy, while 15 patients (51.72%) underwent tube thoracostomy in follow-up. No patient was operated for penetrant trauma. Mortality was not seen. Conclusion: Patients with penetrating thoracic trauma were treated by surgical interventions accompanying minimal morbidity–mortality even though they were admitted relatively late to healthcare facilities. Key words:  penetrating thoracic injuries, sharp cutting tool, gunshot

scholarly journals A prospective study of chest injuries and associated complications with special reference to surgical emphysema

2018 ◽  
Vol 5 (3) ◽  
pp. 873
Author(s):  
Sunil Kumar Dangi ◽  
Naresh Meena ◽  
Ashok Parmar
Keyword(s):  
Thoracic Trauma ◽  
Road Traffic ◽  
Bone Fractures ◽  
Flail Chest ◽  
Pulmonary Contusion ◽  
Long Bone ◽  
Trauma Patients ◽  
Thoracic Injuries ◽  
Female Ratio ◽  
Surgical Emphysema

Background: Chest trauma (or thoracic trauma) is a serious injury of the chest. Thoracic injuries may present extremely dramatic clinical problem that demand rapid diagnosis, decision making and aggressive management. Thoracic injuries can range from simple single rib fracture to major thoracic vessel injury and pulmonary contusion.Objective of this study was to describe the clinical characteristics and risk factors of thoracic trauma patients, and to evaluate their relationship in the development of complications with special emphasis to surgical emphysema.Methods: Descriptive, prospective and analytical study of a cohort of patients with thoracic trauma who were followed up for a period of 30 days. Excluded from the study were those patients with moderate to severe cranio-encephalic trauma, long bone fractures, abdominal trauma, and patients who required mechanical ventilation.Results: A total of 102 patients met the inclusion criteria out of which 90(88.23%)patients were male and 12(11.77%) female with male to female ratio of 7.5:1. Patients having surgical emphysema were all male 21(21.56%). Most common mode of the injury seen was road traffic accidents in 80 (80.95%) patients, followed by assault in 9(9.52%) patients, bull horn injury and fall from height in 4(4.76%) patients. Other chest injury which was most commonly associated with surgical emphysema was haemothorax in 11(52.38%) patients, followed by pneumothorax in 7(33.33%) patients, pulmonary contusion in 6(28.57%) patients and flail chest in 3(14.26%) patients. The risk of complications increases significantly in patients with more than 2 rib fractures, in older patients and in the presence of some comorbidities such as COPD and pathologies that require anticoagulation. The risk of re-admittance is greater in patients older than 60 years.Conclusions: Patients with thoracic trauma who present with co-morbidities, are older than 60 years and have more than 2 ribs fractures may present with more complications. These factors should be contemplated in the evaluation, management and follow-up of these subjects.

scholarly journals Thoracic Trauma, Nonaortic Injuries

2021 ◽  
Vol 38 (01) ◽  
pp. 075-083
Author(s):  
Kai A. Jones ◽  
Shirin Sadri ◽  
Noor Ahmad ◽  
Joseph R. Weintraub ◽  
Stephen P. Reis
Keyword(s):  
Interventional Radiology ◽  
Operating Room ◽  
Thoracic Trauma ◽  
Causes Of Death ◽  
Vital Role ◽  
Trauma Patients ◽  
Vascular Injuries ◽  
Thoracic Injuries ◽  
Small Minority

AbstractTrauma is one of the leading causes of death worldwide. Approximately two-thirds of trauma patients have thoracic injuries. Nonvascular injury to the chest is most common; however, while vascular injuries to the chest make up a small minority of injuries in thoracic trauma, these injuries are most likely to require intervention by interventional radiology (IR). IR plays a vital role, with much to offer, in the evaluation and management of patients with both vascular and nonvascular thoracic trauma; in many cases, IR treatments obviate the need for these patients to go to the operating room. This article reviews the role of IR in the treatment of vascular an nonvascular traumatic thoracic injuries.

scholarly journals Pola trauma tembus toraks di Instalasi Rawat Darurat Bedah RSUP Prof. Dr. R. D. Kandou Manado periode Juli 2013 – Juni 2015

e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Christianto Kissra ◽  
Adrian Tangkilisan ◽  
Heber B. Sapan
Keyword(s):  
Traffic Accidents ◽  
Thoracic Trauma ◽  
Public Health Problem ◽  
High Morbidity ◽  
Major Public Health Problem ◽  
Trauma Patients ◽  
Age Group ◽  
Penetrating Thoracic Trauma ◽  
Keywords Trauma ◽  
Common Causes

Abstract: Trauma continues to be major public health problem worldwide since it is associated with high morbidity and mortality in developed and developing countries. Penetrating thoracic trauma respresents a common and challenging problem whether it is caused either by gunshot or by non-gunshot-related accidents (stabs, traffic accidents). This study was aimed to obtain the profile of penetrating thoracic trauma in Surgery Emergency Unit of Prof. Dr. R. D. Kandou Hospital Manado from July 2013 to June 2015. This was a retrospactive descriptive study using the medical record data of penetrating thoracic trauma patients. The results showed that there were 31 patients of penetrating thoracic trauma out of 108 patients of thoracic trauma patients. Most cases occurred in 2014 (48.41%). Based on age group, the majority of patients were at the age group 16-30 years old (58.05%). Based on sex, most patients were males (96.80%). The most common causes of penetrating thoracic trauma was puncture wounds/stabs (80.64%) and the most common intrathoracic complication was hemothorax (58.1%).Keywords: trauma, penetrating thoracic trauma. Abstrak: Trauma merupakan masalah kesehatan masyarakat yang utama di seluruh dunia karena dikaitkan dengan morbiditas dan mortalitas yang tinggi baik di negara maju dan berkembang. Trauma tembus toraks merupakan masalah umum dan menantang, baik oleh tembakan atau non-tembakan-kecelakanaan (tikaman, kecelakaan lalu lintas). Penelitian ini bertujuan untuk mendapatkan pola trauma tembus toraks di IRDB RSUP Prof. Dr. R. D. Kandou Manado periode Juli 2013 – Juni 2015. Jenis penelitian ialah deskriptif retrospektif dengan menggunakan data rekam medik pasien trauma tembus toraks di IRDB RSU Prof. Dr. R. D. Kandou Manado. Hasil penelitian mendapatkan jumlah kasus trauma tembus toraks sebanyak 31 pasien dari 108 pasien trauma toraks. Kasus terbanyak terjadi pada tahun 2014 (48,41%). Berdasarkan kelompok usia mayoritas penderita trauma tembus toraks (58,05%)pada usia 16-30 tahun. Berdasarkan jenis kelamin sebagian besar penderita (96,80%) berjenis kelamin laki-laki. Penyebab trauma tembus toraks terbanyak karena luka tusukan/tikaman (80,64%), dan komplikasi intratoraks terbanyak yaitu hemotoraks (58,1%). Kata kunci: trauma, trauma tembus toraks

EVALUATION OF UTILITY OF EXTENDED – FOCUSED ASSESSMENT WITH SONOGRAPHY IN TRAUMA (E-FAST)

2011 ◽  
pp. 124-130
Author(s):  
Thang Tran ◽  
Thi Phuong Ly Doan ◽  
Thi Nhan Le
Keyword(s):  
Chest Tube ◽  
Traffic Accidents ◽  
Thoracic Trauma ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Tube Thoracostomy ◽  
Trauma Patients ◽  
Emergent Operation ◽  
Study Results ◽  
Emergency Units

Objective: to evaluate the effectiveness of utility of Extended – Focused Assessment with Sonography in Trauma (E-FAST) at Hue Central Hospital. Methods: descriptive statistics of 75 patients with diagnosis of blunt abdominal and/or thoracic trauma, admitted to the emergency room from April 2007 to June 2010, underwent E-FAST within first minutes of admission, was under observation for emergent management. Results: the study included 64 male and 11 female patients, ranging from ages 5 to 80, traffic accidents were the most commonly cause (57.3%), the time from trauma happening to admission up to 6 hours was highest rate (50.7%). Study results showed that isolated blunt abdominal trauma 45.3%, isolated blunt thoracic trauma 6.7%, blunt abdominal and thoracic trauma 20%, blunt abdominal and/or thoracic trauma associated with other injuries 28%, haemoperitoneum 63.3%, haemothorax 13.3%, pericardial effusions 1.3%, treatment results showed emergent operation 25.4%, conservative treatment 64%, chest tube thoracostomy 4%, operation and chest tube thoracostomy 6.6%. Conclusions: E-FAST is a rapid, besides diagnostic tool for identifying accurately, timely the presence of fluid in the peritoneal, pleural, pericardial cavities and is a clinical decision-making tool to help improve effectively, early definitive care. Levels of emergency units should perform routinely E-FAST in trauma patients who give a history of abdominal - thoracic trauma, especially with hypotension, or impaired consciousness due to associated head injury.

scholarly journals A selective non-operative approach to thoracic stab wounds is safe and cost effective – a South African experience

2018 ◽  
Vol 100 (8) ◽  
pp. 641-649
Author(s):  
KSS Dayananda ◽  
VY Kong ◽  
JL Bruce ◽  
GV Oosthuizen ◽  
GL Laing ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Thoracic Trauma ◽  
Nonoperative Management ◽  
Tube Thoracostomy ◽  
Stab Wounds ◽  
Penetrating Thoracic Trauma ◽  
Thoracic Computed Tomography ◽  
Active Observation ◽  
Selective Nonoperative Management ◽  
Clinical Algorithms

Introduction Penetrating thoracic trauma is common and costly. Injuries are frequently and selectively amenable to non-operative management. Our selective approach to penetrating thoracic trauma is reviewed and the effectiveness of our clinical algorithms confirmed. Additionally, a basic cost analysis was undertaken to evaluate the financial impact of a selective nonoperative management approach to penetrating thoracic trauma. Materials and methods The Pietermaritzburg Metropolitan Trauma Services electronic regional trauma registry hybrid electronic medical records were reviewed, highlighted all penetrating thoracic traumas. A micro-cost analysis estimated expenses for active observation, tube thoracostomy for isolated pneumothorax greater than 2 cm and tube thoracostomy for haemothorax. Routine thoracic computed tomography does not form part of these algorithms. Results Isolated thoracic stab wounds occurred in 589 patients. Eighty per cent (472 cases) were successfully managed nonoperatively. Micro-costing shows that active observation costs 4,370 ZAR (£270), tube thoracostomy for isolated pneumothorax costs 6,630 ZAR (£400) and tube thoracostomy for haemothorax costs 21,850 ZAR (£1,310). Discussion Penetrating thoracic trauma places a striking financial burden on our limited resources. Diligent and serial clinical assessments, alongside basic radiology and stringent management criteria, can accurately stratify patients to correct clinical algorithms. Conclusion Selective nonoperative management for penetrating thoracic trauma is safe and effective. Routine thoracic computed tomography is unnecessary in all patients with isolated thoracic stab wounds, which can be reserved for a select group who are identifiable clinically. Routine thoracic computed tomography would not be financially prudent across Pietermaritzburg Metropolitan Trauma Services. Government action is required to reduce the overall incidence of such trauma to save resources and patients.

scholarly journals Chinese expert consensus on diagnosis and treatment of trauma-induced hypercoagulopathy

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Jing-Chun Song ◽  
◽  
Li-Kun Yang ◽  
Wei Zhao ◽  
Feng Zhu ◽  
...  
Keyword(s):  
Critical Care ◽  
Tissue Injury ◽  
Massive Hemorrhage ◽  
Expert Consensus ◽  
Chinese Society ◽  
Trauma Patients ◽  
Pathophysiological Mechanism ◽  
Trauma Induced Coagulopathy ◽  
Education Association ◽  
Post Traumatic

AbstractTrauma-induced coagulopathy (TIC) is caused by post-traumatic tissue injury and manifests as hypercoagulability that leads to thromboembolism or hypocoagulability that leads to uncontrollable massive hemorrhage. Previous studies on TIC have mainly focused on hemorrhagic coagulopathy caused by the hypocoagulable phenotype of TIC, while recent studies have found that trauma-induced hypercoagulopathy can occur in as many as 22.2–85.1% of trauma patients, in whom it can increase the risk of thrombotic events and mortality by 2- to 4-fold. Therefore, the Chinese People’s Liberation Army Professional Committee of Critical Care Medicine and the Chinese Society of Thrombosis, Hemostasis and Critical Care, Chinese Medicine Education Association jointly formulated this Chinese Expert Consensus comprising 15 recommendations for the definition, pathophysiological mechanism, assessment, prevention, and treatment of trauma-induced hypercoagulopathy.

Thoracic trauma in small animals: road traffic accidents

2021 ◽  
Vol 12 (1) ◽  
pp. 15-19
Author(s):  
Kate Sheard
Keyword(s):  
Traffic Accidents ◽  
Thoracic Trauma ◽  
Road Traffic ◽  
Positive Outcome ◽  
Multiple Organ ◽  
Trauma Patients ◽  
Small Animals ◽  
Road Traffic Accidents ◽  
Blunt Force Trauma ◽  
Organ Systems

Thoracic trauma is common in small animals and can be caused by a variety of insults from penetrating wounds to blunt force trauma. Patients that have sustained any form of thoracic trauma require immediate attention and intensive nursing care in order to have a positive outcome for the patient. These cases can prove challenging as multiple organ systems can be affected and surgery is often required. However, combined with the appropriate medical care, the outcome can be successful.

Admission of elderly blunt thoracic trauma patients directly to the intensive care unit improves outcomes

2017 ◽  
Vol 219 ◽  
pp. 334-340 ◽  
Author(s):  
Owen J. Pyke ◽  
Jerry A. Rubano ◽  
James A. Vosswinkel ◽  
Jane E. McCormack ◽  
Emily C. Huang ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Thoracic Trauma ◽  
Trauma Patients ◽  
Blunt Thoracic Trauma
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