Thoracic Trauma: Current Approach in Emergency Medicine.

IF 1.7 Q2 MEDICINE, GENERAL & INTERNAL Clinics and Practice Pub Date : 2024-09-10 DOI:10.3390/clinpract14050148
Giorgia Caputo, Stefano Meda, Andrea Piccioni, Angela Saviano, Veronica Ojetti, Gabriele Savioli, Gaia Bavestrello Piccini, Chiara Ferrari, Antonio Voza, Lavinia Pellegrini, Miriam Ottaviani, Federica Spadazzi, Gianpietro Volonnino, Raffaele La Russa
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Abstract

Chest trauma is the leading cause of death in people under 40. It is estimated to cause around 140,000 deaths each year. The key aims are to reduce mortality and the impact of associated complications to expedite recovery and to restore patient's conditions. The recognition of lesions through appropriate imaging and early treatment already in the emergency department are fundamental. The majority can be managed in a non-surgical way, but especially after traumatic cardiac arrest, a surgical approach is required. One of the most important surgical procedures is the Emergency Department Thoracotomy (EDT). The aim of this review is to provide a comprehensive synthesis about the management of thoracic trauma, the surgical procedures, accepted indications, and technical details adopted during the most important surgical procedures for different thoracic trauma injuries. Literature from 1990 to 2023 was retrieved from multiple databases and reviewed. It is also important to emphasize the medico-legal implications of this type of trauma, both from the point of view of collaboration with the judicial authority and in the prevention of any litigation.

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胸部创伤:急诊医学的当前方法》。
胸部外伤是 40 岁以下人群的主要死因。据估计,每年约有 14 万人死于胸部创伤。其主要目的是降低死亡率和相关并发症的影响,加快康复和恢复患者的病情。在急诊科通过适当的影像检查和早期治疗识别病变是至关重要的。大多数病变可以通过非手术方式进行处理,但尤其是创伤性心脏骤停后,则需要采用手术方法。急诊科胸廓切开术(EDT)是最重要的外科手术之一。本综述旨在全面综述胸部创伤的处理方法、外科手术程序、公认的适应症以及针对不同胸部创伤最重要的外科手术程序所采用的技术细节。我们从多个数据库中检索了 1990 年至 2023 年的文献,并对其进行了综述。此外,还必须强调这类创伤的医学法律意义,无论是从与司法当局合作的角度还是从预防任何诉讼的角度来看都是如此。
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来源期刊
Clinics and Practice
Clinics and Practice MEDICINE, GENERAL & INTERNAL-
CiteScore
2.60
自引率
4.30%
发文量
91
审稿时长
10 weeks
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