CHEST TRAUMA. Victor Politi,M.D., FACP Medical Director, SVCMC Physician Assistant Program. Statistics. Each year there are nearly 150,000 accidental deaths in the United States 25% of these deaths are a direct result of thoracic trauma
Victor Politi,M.D., FACP
Medical Director, SVCMC Physician Assistant Program
delivery to tissues
“sucking chest wound”
injury - larynx, trachea,
Flail chest usually results from direct impact.
Identification is the most difficult aspect of field care in a tension pneumothorax.
Pleural decompression should only be employed if the patient demonstrates significant dyspnea and distinct signs and symptoms of tension pneumothorax.
After the pressure is released, the wound should be resealed.
Insert the needle just above the third rib to avoid the nerve, artery, and vein that lie just beneath each rib.
- needle into 2nd intercostal
space of mid-clavicular line -
followed by thoracotomy
Inferior vena cava
Mortality—between 14% and 20%