RT Book, Section A1 O’Connell, Karen A2 Tenenbein, Milton A2 Macias, Charles G. A2 Sharieff, Ghazala Q. A2 Yamamoto, Loren G. A2 Schafermeyer, Robert SR Print(0) ID 1155168710 T1 Thoracic Trauma T2 Strange and Schafermeyer's Pediatric Emergency Medicine, 5e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9781259860751 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1155168710 RD 2024/03/28 AB Pediatric victims of thoracic trauma require rapid evaluation and management. Knowledge of pediatric-specific anatomy and injury patterns will expedite identification of injuries.Children are particularly susceptible to pulmonary contusion with few external signs of trauma due to increased compliance of the ribs and supporting structures.Immediately treat the hemodynamically unstable or deteriorating victim of thoracic trauma with needle and then chest tube thoracostomy.The most common site for aortic disruption in children is at the level of the ligamentum arteriosum.Gunshot wounds to the chest are associated with abdominal injuries in 30% to 40% of patients.