241 Prehospital Therapeutic Strategy for Thoracic Trauma

Life-saving or life-threatening? Prehospital thoracostomy for thoracic trauma.

A bus was involved in a roll-over road traffic accident. Most occupants were ejected from the vehicle. Primary triage revealed 9 dead, 1 P4 (unsalvageable), 5 P1 (immediate life threat) and 30 less severely injured patients. Two prehospital doctors performed a secondary triage, provided medical supervision and performed critical care interventions where necessary. A young man initially triaged ...

Thoracic trauma

Thoracic Trauma

Thoracic injury directly accounts for 20 to 25% of deaths from trauma, resulting in more than 16,000 deaths annually in the United States. The most common cause of injuries leading to accidental death in the United States is motor vehicle collisions (MVCs) in which immediate deaths are often caused by rupture of the myocardial wall or the thoracic aorta. Early deaths (within the first 30 minute...

Thoracic Trauma

Thoracic trauma is a significant cause of morbidity and mortality in both adults and children. It is a leading cause of death in approximately 25% of multiple trauma patients and, when associated with other injuries, it causes death in additional 50% of multiple trauma patients, usually as a result of hypoxia and hypovolemia. When cardiac trauma is not involved, mortality from isolated penetrat...

Prehospital Therapeutic Hypothermia for Cardiac Arrest