Blunt chest trauma: a clinical chameleon

Blunt chest trauma: a clinical chameleon



The incidence of blunt chest trauma (BCT) is bigger than 15% of all trauma admissions to the emergency departments worldwide and is the second main reason behind loss of life after head damage in motorized vehicle accidents. The mortality because of BCT is inhomogeneously described starting from 9% to 60%. BCT is usually attributable to a sudden high-speed deceleration trauma to the anterior chest, resulting in a compression of the thorax. All thoracic constructions is likely to be injured on account of the trauma. Advanced cardiac arrhythmia, coronary heart murmurs, hypotension, angina-like chest ache, respiratory insufficiency or distention of the jugular veins might point out potential cardiac damage. Nevertheless, on admission to emergency departments signs is likely to be lacking or is probably not clearly related to the damage. Correct diagnostics and early administration with a purpose to stop severe problems and loss of life are important for sufferers struggling a BCT. Optimum preliminary diagnostics consists of echocardiography or CT, Holter-monitor recordings, serial 12-lead electrocardiography and measurements of cardiac enzymes. Speedy diagnostics resulting in the suitable remedy is important for saving a affected person’s life. The important thing facet of the complete administration, together with diagnostics and remedy of sufferers with BCT, stays an interdisciplinary crew involving cardiologists, cardiothoracic surgeons, imaging radiologists and trauma specialists working in tandem.

  • cardiac imaging and diagnostics
  • aortic and arterial illness

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