RT Book, Section A1 Nystrom, Paul A2 Cydulka, Rita K. A2 Fitch, Michael T. A2 Joing, Scott A. A2 Wang, Vincent J. A2 Cline, David M. A2 Ma, O. John SR Print(0) ID 1143144571 T1 Cardiothoracic Injuries T2 Tintinalli's Emergency Medicine Manual, 8e YR 2017 FD 2017 PB McGraw-Hill Education PP New York, NY SN 9780071837026 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1143144571 RD 2024/04/23 AB Bedside diagnosis and immediate intervention by the emergency provider may be lifesaving for significant injuries associated with severe chest trauma such as tension pneumothorax, hemothorax, and cardiac tamponade. Initial resuscitation and airway management should follow established principles, as discussed in Chapter 156, “Trauma in Adults.” It is important to avoid hypoxia and hypotension to prevent secondary injury in head-injured patients. In the hemodynamically unstable, polytrauma patient who requires emergency surgery without CT imaging, exclude immediate life threats rapidly at the bedside using ultrasound, radiographs, and physical examination.