Description: A patient comes to the emergency department with a pneumothorax on his left side. His radiograph is mistakenly labeled backwards, and the resident assigned to the patient wrongly places a chest tube on the right side. The red arrow indicates the aortic arch. The yellow arrows indicate the outline of the pneumothorax.
Blunt Chest Trauma | Article | NursingCenter
Up to 10 percent of hospitalized trauma patients have rib fractures. Flail chest — defined as two or more contiguous rib fractures with two or more breaks per rib — is one of the most serious of these injuries and is often associated with considerable morbidity and mortality. It occurs when a portion of the chest wall is destabilized, usually from severe blunt force trauma. This alters the mechanics of breathing so that the floating segment of chest wall and soft tissue moves paradoxically in the opposite direction from the rest of the rib cage.
Trauma Nursing Case Study
Join NursingCenter to get uninterrupted access to this Article. When you buy this you'll get access to the ePub version, a downloadable PDF, and the ability to print the full article. Blunt chest trauma is associated with a wide range of injuries, many of which are life threatening.
Thoracic trauma remains to be a relevant injury to the polytraumatised patient. However, literature regarding how far changes in clinical guidelines for pre- and in-hospital trauma management and diagnostic procedures affect the outcome of multiple injured patients with severe chest injury during a long-term observation period is sparse. Demographic data, the pattern of injury, injury severity, radiographic emergency procedures, indication for intubation, duration of mechanical ventilation, emergency surgery, occurrence of complications and mortality were evaluated per year and over time. A total of 16, patients were analysed. However, mortality remained unchanged.