TY - CHAP M1 - Book, Section TI - Pulmonary Trauma A1 - Wang, Yvonne L. A1 - Jones, David A2 - Tintinalli, Judith E. A2 - Ma, O. John A2 - Yealy, Donald M. A2 - Meckler, Garth D. A2 - Stapczynski, J. Stephan A2 - Cline, David M. A2 - Thomas, Stephen H. PY - 2020 T2 - Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 9e AB - Blunt thoracic trauma produces damage by direct injury, compression, and forces of acceleration or deceleration, whereas penetrating thoracic trauma causes direct injury along the path of a stab wound or projectile. Injuries most often involve the lungs and, less frequently, the heart and great vessels. Regardless of mechanism, stabilization and treatment of these patients follow a similar pathway. In general, patients with penetrating injuries who survive to reach the hospital have better outcomes than those who have sustained blunt injuries. Blunt chest trauma from blast injuries is discussed in Chapter 7, “Bomb, Blast, and Crush Injuries.” Presume penetrating chest injuries in the “cardiac box” (see Figure 262-1), an area bounded by the sternal notch, xiphoid process, and nipples, to involve the heart or great vessels until proven otherwise. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1167028464 ER -