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Torso damage control for ongoing hemorrhage: Tips and tricks

Thoracic injuries are common and occur in combination with other injuries in various compartments representing a significant pattern of injury in any trauma center. Injured patients presenting with exsanguinating hemorrhage from the thoracic cavity are an acute subset of patients that can be extreme...

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Detalles Bibliográficos
Autor principal: Kaminsky, Matt
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8841893/
https://www.ncbi.nlm.nih.gov/pubmed/35198944
http://dx.doi.org/10.1016/j.sopen.2021.11.001
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author Kaminsky, Matt
author_facet Kaminsky, Matt
author_sort Kaminsky, Matt
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description Thoracic injuries are common and occur in combination with other injuries in various compartments representing a significant pattern of injury in any trauma center. Injured patients presenting with exsanguinating hemorrhage from the thoracic cavity are an acute subset of patients that can be extremely challenging to any trauma surgeon as the immediate need to diagnose and intervene is critical. Diagnosis is based on traumatic history pattern and hemodynamics, assisted with plain films, ultra-sound and properly placed chest tubes. The chest should always be considered as a source of unexplained hemodynamic instability with hemorrhage identification by tube thoracostomy, pericardial window or surgical thoracotomy if the patient is already in the OR or if imaging is not available. Various surgical incisions are possible for thoracic traumatic bleeding with various exposure advantages and disadvantages with care and thought prior to incision. Regardless, delay to intervention or trepidation is lethal particularly in these challenging trauma patients.
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spelling pubmed-88418932022-02-22 Torso damage control for ongoing hemorrhage: Tips and tricks Kaminsky, Matt Surg Open Sci Special Section on Technical Considerations for Hemorrhage Control; Edited by Dr. Chad Ball and Dr. Kelly Voght Thoracic injuries are common and occur in combination with other injuries in various compartments representing a significant pattern of injury in any trauma center. Injured patients presenting with exsanguinating hemorrhage from the thoracic cavity are an acute subset of patients that can be extremely challenging to any trauma surgeon as the immediate need to diagnose and intervene is critical. Diagnosis is based on traumatic history pattern and hemodynamics, assisted with plain films, ultra-sound and properly placed chest tubes. The chest should always be considered as a source of unexplained hemodynamic instability with hemorrhage identification by tube thoracostomy, pericardial window or surgical thoracotomy if the patient is already in the OR or if imaging is not available. Various surgical incisions are possible for thoracic traumatic bleeding with various exposure advantages and disadvantages with care and thought prior to incision. Regardless, delay to intervention or trepidation is lethal particularly in these challenging trauma patients. Elsevier 2021-11-11 /pmc/articles/PMC8841893/ /pubmed/35198944 http://dx.doi.org/10.1016/j.sopen.2021.11.001 Text en © 2021 The Author(s) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Special Section on Technical Considerations for Hemorrhage Control; Edited by Dr. Chad Ball and Dr. Kelly Voght
Kaminsky, Matt
Torso damage control for ongoing hemorrhage: Tips and tricks
title Torso damage control for ongoing hemorrhage: Tips and tricks
title_full Torso damage control for ongoing hemorrhage: Tips and tricks
title_fullStr Torso damage control for ongoing hemorrhage: Tips and tricks
title_full_unstemmed Torso damage control for ongoing hemorrhage: Tips and tricks
title_short Torso damage control for ongoing hemorrhage: Tips and tricks
title_sort torso damage control for ongoing hemorrhage: tips and tricks
topic Special Section on Technical Considerations for Hemorrhage Control; Edited by Dr. Chad Ball and Dr. Kelly Voght
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8841893/
https://www.ncbi.nlm.nih.gov/pubmed/35198944
http://dx.doi.org/10.1016/j.sopen.2021.11.001
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