Algorithm of emergency medical care in case of chest trauma (lecture)

June 26, 2024
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In today’s conditions of large-scale invasion of Ukraine by the russian federation, chest trauma occupies a leading position among traumatic injuries of various organs and systems. The task of emergency medical care at the prehospital stage is to identify injuries that pose an immediate threat to the victim’s life, namely: airway obstruction, chest flotation, open pneumothorax, massive hemothorax, tension pneumothorax, cardiac tamponade, heart contusion, traumatic aortic rupture, diaphragmatic rupture, etc., and to provide emergency care. Chest injuries are often reported in patients with combined trauma, and they lead to death in 20–25% of cases. However, many victims can survive if these injuries are detected in time and treated properly. This article discusses the critical injuries to the chest and its organs, as well as interventions that can increase the victim’s chances of survival.

References

  • 1. American college of surgeons committee on trauma (2018) Thoracic Trauma. In  advanced trauma life support, 10th ed. Chicago. American College of Surgeous.
  • 2. Amand F.E., Maudlin-Jeronimo A., Higgins B. et al. (2016) Adherence evalution of vented chest seals in a swine skin model. Injury, 47(10): 2097–2104. doi: 10.1016/j. injury. 2016.05.04.
  • 3. Asensio J.A., Mazzini F.N. (2013) Thoracic Injuries. In trauma manual: trauma and acute care surgery, 4th. Pitzman A.B., Rhodes M., Schwab C.W. et al. (Eds.): 327–366. Philadelphia: Lippincott Willians and Wikins.
  • 4. Елсон Р.Л., Ган К.Г., Кемпбелл Дж.Е. (2023) Догоспітальна допомога при травмах. International trauma life support. Пер. з англ., наук. ред. пер. А.О. Волосовець. 9-тє вид. ВСВ «Медицина», Київ, 440 с.