Emergency Management For Chest trauma : Collaborative Efforts Among Nursing, Chest, Medicine and Laboratory Diagnosis
Main Article Content
Keywords
Chest Trauma, Advanced Trauma Life Support, Collaborative Care, Pulmonary Contusions.
Abstract
Chest trauma is a significant cause of morbidity and mortality, often requiring a multidisciplinary approach for optimal management. Initial evaluation follows Advanced Trauma Life Support (ATLS) protocols, with high flow oxygen, ECG monitoring, and large-bore IVs. Diagnostic tools include chest radiography, ultrasound, CT, and laboratory tests assessing hemoglobin, electrolytes, and coagulation status. Nurses play a vital role in airway and breathing management, hemodynamic monitoring, pain control, and complication prevention. Pulmonary/critical care and thoracic surgery specialists guide operative interventions, ventilation management, and strategies to avoid complications such as retained hemothorax. Collaboration with specialists in chest medicine, surgery, and laboratory diagnosis is crucial in managing conditions such as pulmonary contusions, cardiac, esophageal, and diaphragmatic injuries. Early intervention and collaborative care can significantly reduce morbidity and mortality in chest trauma patients.
References
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Rendeki, S., & Molnar, T. F. (2019). Pulmonary contusion. Journal of Thoracic Disease, 11(Suppl 17), S141–S151.
Shoar, S., Hosseini, F. S., Naderan, M., Safari, S., & Mahboubi, H. (2021). Cardiac injury following blunt chest trauma: Diagnosis, management, and uncertainty. International Journal of Burns and Trauma, 11(2), 80–89.
Staub, L. J., Biscaro, R. R. M., Kaszubowski, E., Maurici, R., Festti, J., Carvalho, P. R. A., & Neto, A. C. P. (2018). Chest ultrasonography for the emergency diagnosis of traumatic pneumothorax and haemothorax: A systematic review and meta-analysis. Injury, 49(3), 457–466.
Stewart, R. M., Brasel, K., Shock, H. S., Stewart, R. M., Brasel, K., & Henry, S. (2018). Advanced trauma life support student course manual. American College of Surgeons, The Committee on Trauma, 3, 43-61.
Tran, J., Haussner, W., & Shah, K. (2021). Traumatic pneumothorax: A review of current diagnostic practices and evolving management. The Journal of Emergency Medicine, 61(4), 517–528.
Bauman, Z. M., Kulvatunyou, N., Joseph, B., Friese, R. S., Rhee, P., Tang, A. L., Mistry, N., Vercruysse, G., & Green, D. J. (2021). Randomized clinical trial of 14-French (14F) pigtail catheters versus 28-32F chest tubes in the management of patients with traumatic hemothorax and hemopneumothorax. World Journal of Surgery, 45(4), 880–886.
Bhavnagri, S. J., & Mohammed, T. L. (2009). When and how to image a suspected broken rib. Cleveland Clinic Journal of Medicine, 76(6), 309–314.
Choi, J., Anand, A., Sborov, K. D., Samia, H., & Pascual, J. L. (2021). Complication to consider: Delayed traumatic hemothorax in older adults. Trauma Surgery & Acute Care Open, 6(1), e000626.
Clancy, K., Velopulos, C., Bilaniuk, J. W., Collier, B., Crowley, W., Kurek, S., Lui, F., Nayduch, D., Yon, J., Haut, E., & Haider, A. (2012). Screening for blunt cardiac injury: An eastern association for the surgery of trauma practice management guideline. The Journal of Trauma and Acute Care Surgery, 73(5), S301–S306.
Dennis, B. M., Bellister, S. A., & Guillamondegui, O. D. (2017). Thoracic trauma. Surgical Clinics of North America, 97(5), 1047–1064.
Grewal, H. S., Dangayach, N. S., Ahmad, U., Ghobadi, W., Lira, A., Nascimento, B., & Pandian, T. K. (2019). Treatment of tracheobronchial injuries: A contemporary review. Chest, 155(3), 595–604.
Hendriksen, B. S., Kuroki, M. T., Armen, S. B., Tai, M. V., Bates, J. E., Frank, J. L., Adamas-Rappaport, W. J., Schermer, C. R., & O’Connor, J. V. (2019). Lytic therapy for retained traumatic hemothorax: A systematic review and meta-analysis. Chest, 155(4), 805–815.
Keskpaik, T., Starkopf, J., Kirsimägi, Ü., Treial, L., Lamp, L., Rahu, M., & Aunapuu, M. (2020). The role of elevated high-sensitivity cardiac troponin on outcomes following severe blunt chest trauma. Injury, 51(6), 1177–1182.
Khandhar, S. J., Johnson, S. B., & Calhoon, J. H. (2007). Overview of thoracic trauma in the United States. Thoracic Surgery Clinics, 17(1), 1–9.
Liman, S. T., Kuzucu, A., Tastepe, A. I., Ulasan, G. N., Topcu, S., Demirhan, R., Kacan, S., & Tukenmez, M. (2003). Chest injury due to blunt trauma. The European Journal of Cardio-Thoracic Surgery, 23(3), 374–378.
Lin, F. C., Li, R., Tung, Y. C., Cheng, Y. C., Hsu, Y. P., Chou, Y. P., & Chen, C. Y. (2016). Morbidity, mortality, associated injuries, and management of traumatic rib fractures. Journal of the Chinese Medical Association, 79(7), 329–334.
McDonald, A. A., Robinson, B. R. H., Alarcon, L., DiMaggio, C., Bonner, D. E., Coimbra, R., Rivara, F. P., Whitlock, G. G., Howard, J. T., Ayoung-Chee, P., Marshall, G. T., Guidry, C. R., Bliss, D., Mauffrey, C., Folman, Y., Haut, E. R., & Zlidenny, A. M. (2018). Evaluation and management of traumatic diaphragmatic injuries: A Practice Management Guideline from the Eastern Association for the Surgery of Trauma. The Journal of Trauma and Acute Care Surgery, 85(1), 198–207.
Miller, C., Stolarski, A., Ata, A., Kaiser, K., Hrovat, K., & Chiu, W. C. (2019). Impact of blunt pulmonary contusion in polytrauma patients with rib fractures. The American Journal of Surgery, 218(1), 51–55.
Norton-Gregory, A. A., Kulkarni, N. M., & O’Connor, S. D. (2021). CT esophagography for evaluation of esophageal perforation. Radiographics, 41(2), 447–461.
Patel, N. J., Dultz, L., Ladhani, H. A., Parent, N., Riccio, A. I., Stokes-Cole, K., Suis, D. N., Katz, D. S., Douglas, R. M., Cincione, R. J., Blitman, N. M., & Toppo, E. J. (2021). Management of simple and retained hemothorax: A practice management guideline from the Eastern Association for the Surgery of Trauma. The American Journal of Surgery, 221(4), 873–884.
Prakash, P. S., Moore, S. A., Rezende-Neto, J. B., Walsh, M., Gries, L., Cone, J., Caterson, E. J., Albrecht, R. M., & Allmon, C. (2020). Predictors of retained hemothorax in trauma: Results of an Eastern Association for the Surgery of Trauma multi-institutional trial. The Journal of Trauma and Acute Care Surgery, 89(4), 679–685.
Rendeki, S., & Molnar, T. F. (2019). Pulmonary contusion. Journal of Thoracic Disease, 11(Suppl 17), S141–S151.
Shoar, S., Hosseini, F. S., Naderan, M., Safari, S., & Mahboubi, H. (2021). Cardiac injury following blunt chest trauma: Diagnosis, management, and uncertainty. International Journal of Burns and Trauma, 11(2), 80–89.
Staub, L. J., Biscaro, R. R. M., Kaszubowski, E., Maurici, R., Festti, J., Carvalho, P. R. A., & Neto, A. C. P. (2018). Chest ultrasonography for the emergency diagnosis of traumatic pneumothorax and haemothorax: A systematic review and meta-analysis. Injury, 49(3), 457–466.
Stewart, R. M., Brasel, K., Shock, H. S., Stewart, R. M., Brasel, K., & Henry, S. (2018). Advanced trauma life support student course manual. American College of Surgeons, The Committee on Trauma, 3, 43-61.
Tran, J., Haussner, W., & Shah, K. (2021). Traumatic pneumothorax: A review of current diagnostic practices and evolving management. The Journal of Emergency Medicine, 61(4), 517–528.
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Published
Apr 20, 2022
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How to Cite
Huda Abdulrazaq Alsabi7, Adraa Ibrahim Alshoreet8, Huda Mohammed Ben Alsheikh9, Mustafa Ali Albarakat10, Ali Nassir Al Atafi11, Ali Ibrahim Alsaleh12,Fahad Ayesh Shutaywi alanazi13, H. T. A. H. Z. T. M. A. J. A. A. A. A. M. A. Y. Y. S. A. M. A. A. (2022). Emergency Management For Chest trauma : Collaborative Efforts Among Nursing, Chest, Medicine and Laboratory Diagnosis. Journal of Population Therapeutics and Clinical Pharmacology, 29(03), 893-902. https://doi.org/10.53555/jptcp.v29i03.6014
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All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
Huda Abdulrazaq Alsabi7, Adraa Ibrahim Alshoreet8, Huda Mohammed Ben Alsheikh9, Mustafa Ali Albarakat10, Ali Nassir Al Atafi11, Ali Ibrahim Alsaleh12,Fahad Ayesh Shutaywi alanazi13, H. T. A. H. Z. T. M. A. J. A. A. A. A. M. A. Y. Y. S. A. M. A. A. (2022). Emergency Management For Chest trauma : Collaborative Efforts Among Nursing, Chest, Medicine and Laboratory Diagnosis. Journal of Population Therapeutics and Clinical Pharmacology, 29(03), 893-902. https://doi.org/10.53555/jptcp.v29i03.6014