RT Book, Section
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.
SR Print(0)
ID 1167028464
T1 Pulmonary Trauma
T2 Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 9e
YR 2020
FD 2020
PB McGraw-Hill Education
PP New York, NY
SN 9781260019933
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1167028464
RD 2024/04/16
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.