Initial evaluation and management of the patient with a chest injury
Review articleOpen access
1963/04/01 Full-length article DOI: 10.1016/0002-9610(63)90314-3
Journal: The American Journal of Surgery
AbstractThe immediate evaluation and management of the patient with a chest injury depends upon the recognition of mechanical derangements of cardiorespiratory function consisting primarily of tension within the pleural cavity from air or blood, chest wall instability, airway obstruction, cardiac tamponade and blood loss. Several of these mechanisms may be present simultaneously as well as other serious extrathoracic injuries. Recognition and management of these changes require rather simple equipment and standard x-ray examinations. This equipment must, however, be readily available and the examinations and therapeutic procedures must be carried out expeditiously. If this is done, few of the patients who survive to reach a hospital should die of their chest injury.
Request full text