Chest trauma - Factbites

Chest trauma - Factbites
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Topic: Chest trauma

Note: these results are not from the primary (high quality) database.

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	THORACIC TRAUMA
		The patient with chest trauma may present with respiratory distress due to hemothorax.
		The evaluation of the patient's chest trauma is only a part of the total assessment; furthermore because thoracic injuries are severe and potentially lethal, the diagnosis and therapy go hand in hand.
		Heart injuries (cardiac contusion): myocardial contusion is associated, in chest blunt trauma, with fractures of the sternum or ribs.
	www-cdu.dc.med.unipi.it /ECTC/ethora.htm (4723 words)

	Emedicine Search Results for trauma
		Blunt Chest Trauma - Chest trauma is a significant source of morbidity and mortality in the United States.
		Penetrating Chest Trauma - Thoracic injuries account for 20-25% of deaths due to trauma and contribute to 25-50% of the remainin...
		Testicular Trauma - Testicular trauma is relatively uncommon, despite the exposed position of the testicles in the male perineum...
	www.emedicine.com /cgi-bin/foxweb.exe/searchengine@/em/searchengine?boolean=and&book=all&maxhits=100&HiddenURL=&query=trauma (407 words)

	article.aspx?articleid=245
		Mulitfunction chest drainage systems (Redax) have been designed primarily for post-cardiothoracic surgery and chest trauma management.
		Portex chest* drains come with a flexible trocar, thus avoiding risk of trauma.
		The basic requirements are a suitable chest drain with minimal resistance, an underwater seal and a collection chamber.
	www.frca.co.uk /article.aspx?articleid=245 (407 words)

	Mobile Chest Drain
		Chest X-rays may miss 40% of clinically significant thoracic injuries in multiple trauma patients that can be caught by chest CT, say researchers from Massachusetts General Hospital in Boston.
		Chest X-rays may miss 40% of clinically significant thoracic injuries in multiple trauma patients that can be caught by chest CT, say researchers from Massachusetts General Hospital in Boston...
		Continue to Mobile Chest Drain on Yenra Medical News.
	www.medical-buzz.com /mobile-chest-drain,390.html (407 words)

	Chest pain
		Inflammation of or trauma to the various components of the chest wall is a common cause of chest pain.
		Occasionally, chest wall pain seems to be spontaneous, but in these instances is probably related to an unrecognized strain or tear of an intercostal muscle or rib fracture during exercise, a bout of coughing, or a forgotten injury.
		In this regard, it is worth noting that cardiac causes of chest pain are often accompanied by shortness of breath; but in contrast to many respiratory causes of chest pain and dyspnea, and with the exception of pericarditis, the pain of heart disease does not vary with breathing.
	www.nlhep.org /books/pul_Pre/chest-pain.html (407 words)

	Chest Trauma
		Chest x-ray may show deviation of the NG tube 1-2 cm to the right or blurring of the aortic knob.
		Chest x-ray may confirm the diagnosis, but an upright or decubitus film is often necessary.
		Diagnosis: Diagnose pneumothorax from chest x-ray by observing a pleural stripe that has fallen away from the chest wall, with absence of lung markings beyond the stripe.
	www.madsci.com /manu/trau_che.htm (407 words)

	TRAUMA.ORG:
		The Trauma Director (a surgeon) and the Trauma coordinator did seem to be at opposite ends of the discussion regarding families in the room at the time of an open chest, etc.
		The surgeons were violently opposed to this concept and displayed a lot of emotion to keep the family out, including limiting their visitations in a trauma intensive care unit to "three thirty minute visiting hours a day." This position seemed overly rigid.
		A trauma patient is not a dying neonate, or a patinet with end stage coronary disease.
	www.trauma.org /archives/family.html (407 words)

	Chest pain
		Inflammation of or trauma to the various components of the chest wall is a common cause of chest pain.
		In this regard, it is worth noting that cardiac causes of chest pain are often accompanied by shortness of breath; but in contrast to many respiratory causes of chest pain and dyspnea, and with the exception of pericarditis, the pain of heart disease does not vary with breathing.
		Because it is a subjective experience and difficult to quantify, epidemiological surveys of the prevalence of chest pain and physiological studies of its mechanisms are limited.
	www.nlhep.org /books/pul_Pre/chest-pain.html (2219 words)

	TRAUMA.ORG: Thoracic Trauma
		For blunt trauma patients lying supine, drains should be placed anteriorly in the chest.
		Similarly, patients in shock or profoundly hypoxic with unilateral chest signs or evidence of penetrating trauma to a hemithorax should have a chest drain placed emergently.
		Chest tube insertion is also appropriate to prevent the development of a pleural collection, such as after a thoractomy or to prevent a tension pneumothorax in the ventilated patient with rib fractures.
	www.trauma.org /thoracic/CHESTdrain.html (2219 words)

	TRAUMA.ORG: Trauma Resuscitation: Trauma Team
		The radiographer should immediately start with the trauma series of X-rays, in the order Cervical Spine, Chest and Pelvis, unless directed otherwise by the team leader.
		The trauma team is ideally made up of a group of doctors, nurses, operating department assistants, radiographers and other support personnel who have no o ther commitment that day than to receive and treat trauma patients.
		The general surgeon focusses on assessment of the thorax, abdomen and head if no neurosurgeon is on the core trauma team.
	www.trauma.org /resus/traumateam.html (2219 words)

	Trauma Management
		Almost every patient with severe trauma should have a cross-table C-spine x-ray, chest x-ray, and pelvis x-ray.
		As the trauma victim arrives, the physician assesses vital functions (the ABCs) rapidly, intervening when the patient’s status meets the “threshold of action.” The physician orders stabilization measures such as IV and oxygen as the primary survey is conducted.
		In general, the first physician called is the trauma surgeon, whose responsibility it is to coordinate the other aspects of care.
	www.madsci.com /manu/trau_gen.htm (2219 words)

	chest drain
		or evidence of penetrating trauma to a hemithorax should have a chest drain placed emergently.
		chest tube") involves placing a hollow plastic tube between the ribs and into the chest to drain fluid or air from around the lungs.
		Mediastinal chest drain clearance for cardiac surgery (Cochrane Review) Wallen M, Morrison A, Gillies D, O'Riordan E, Bridge...
	drains-combo.blind9.com /chest-drain.html (2219 words)

	Optimal Design of Small
		The need for chest drainage is also required following open heart surgery and chest trauma to evacuate any pooling blood which, if left in the mediastinal cavity, can cause cardiac distress or tamponade.
		To restore the chest to its normal condition, all air and fluid must be removed, and the source of an air leak must be closed.
		There are two basic considerations relative to the design of a chest drain from a functional point of view and patient comfort; size and flexibility.
	www.research.rutgers.edu /~knight/CCD/si_2002/chung/chung_ccd2002.html (2219 words)

	BestBETs: Seldinger technique chest and complication rate...
		There is no comparative work looking at the use of a seldinger technique for placement of chest drains in adult trauma patients.
		You elect to place a chest drain and discover that you have a seldinger 'over-the-wire' technique chest drain in front of you.
		The needle-wire-dilator technique for the insertion of chest tubes in pediatric patients.
	www.bestbets.org /cgi-bin/bets.pl?record=00326 (2219 words)

	Mass High Tech
		Atrium produces a broad spectrum of medical device technologies used for open heart surgery, emergency chest trauma, thoracic drainage and surgical repair of diseased blood vessels.
		Atrium recently launched several new chest drainage products, including the world’s first truly "wearable chest drain" to allow patients the benefits of early ambulation with the latest in mobile chest drain technology.
		A unanimous jury had found in the November 2002 decision that Atrium's Express Dry Suction Chest Drains did not infringe the five chest drain medical device patents that were litigated by Genzyme.
	www.canbiotech.com /newsUrl.asp?nId=71483 (2219 words)

	Atrium Medical Corporation Introduces the World's First Truly Mobile Chest Drain
		Atrium Medical Corporation is a leading manufacturer of breakthrough medical device technologies used in open heart surgery, emergency chest trauma, thoracic drainage and surgical repair of diseased blood vessels.
		Atrium's newest chest drain, the Express Mini 500, is small, compact, lightweight, and has all the features of a standard-sized chest drain.
		In this time of over-crowded and under-staffed hospitals, there is a need for a smaller, lightweight, fully functional chest drain.
	www.forrelease.com /D20031110/nem019.P1.11102003084953.01522.html (2219 words)

	BestBETs: To chest drain or not to chest drain (haemothorax)...
		In a [prehospital patient suffering major chest trauma suggestive of haemothorax] is [insertion of a chest drain better than not inserting a chest drain] for [reduction of mortality]?
		BestBETs: To chest drain or not to chest drain (haemothorax)...
		To chest drain or not to chest drain (haemothorax)
	www.bestbets.org /cgi-bin/bets.pl?record=00302 (2219 words)

	Government Relations/Compliance > Ergonomics 101: The Basics NACS Online
		Musculoskeletal Disorders (MSDs) are commonly referred to as cumulative trauma disorders (CTDs), repetitive motion injuries (RMIs), repetitive strain injuries (RSIs), repetitive trauma disorders, wear and tear disorders, overuse syndrome, and repeated trauma illnesses (RTIs).
		When this structure is compressed by the pectoralis minor (a chest muscle) blood flow to and from the arm is reduced.
		The list of disorders in Part III, the chart in Part IV, and the list in Appendix B are provided for informational purposes only and describe disorders that may or may not occur during the course of work in convenience stores.
	www.nacsonline.com /NACS/Resource/Government/hr_112701_ir.htm (2219 words)

	hannibal.net - State redesignates Blessing as Level II Trauma Center 07/07/04
		A trauma patient is a person who has sustained certain injuries, including penetrating injuries to head, neck, chest or abdomen, and/or shows signs of shock.
		Trauma Centers provide comprehensive care, and as part of the state's trauma communications and transportation network, can quickly transfer patients if needed to the facility providing the level of medical care most appropriate for the case.
		A patient could also be declared to have suffered trauma based on the force involved in their injury or the way they were injured.
	www.hannibal.net /palm_pilot/stories/070704/bus_0707040013.shtml (412 words)

	eMedicine - Hemothorax : Article by Jane M Eggerstedt, MD
		One drawback of ultrasonography for the identification of traumatic hemothorax is that associated injuries readily seen on chest radiographs in the trauma patient, such as bony injuries, widened mediastinum, and pneumothorax, are not readily identifiable on chest ultrasonograph images.
		In blunt trauma cases, hemothorax is frequently associated with other chest injuries visible on the chest radiograph, such as rib fractures, pneumothorax, or a widening of the superior mediastinum.
		In some cases of nontraumatic hemothorax, especially those that occur from metastatic pleural implants, patients may present with the finding of a new pleural effusion of unknown etiology and hemothorax may not be identified until the initial diagnostic aspiration is performed.
	www.emedicine.com /med/topic2915.htm (412 words)

	Pneumothorax
		pneumothorax is caused by penetrating or blunt trauma to the chest, with air entering the pleural space directly through the chest wall, through visceral pleural penetration, or through alveolar rupture resulting from sudden compression of the chest.
		Pneumothorax is considered one of the most common forms of thoracic disease and is classified as spontaneous (not caused by trauma), traumatic, or iatrogenic.
		Abnormal findings were observed in the lung ipsilateral to the pneumothorax on 28 of 35 CTs (80%) and on 11 of 35 chest radiographs (31%), and in the contralateral lung on 23 of 35 CTs (66%) and on 4 of 35 chest radiographs (11%).
	www.perioperativemed.jeeran.com /pneumothorax.htm (2290 words)

	Shortness of breath
		The doctor will examine the patient's chest in order to determine the rate and depth of breathing, the effort required, the condition of the patient's breathing muscles, and any evidence of chest deformities or trauma.
		Patients describe dyspnea variously as unpleasant shortness of breath, a feeling of increased effort or tiredness in moving the chest muscles, a panicky feeling of being smothered, or a sense of tightness or cramping in the chest wall.
		Patients who are seen in emergency rooms are given a chest x ray and electrocardiogram (ECG) to assist the doctor in evaluating abnormalities of the chest wall, also to determine the position of the diaphragm, possible rib fractures or pneumothorax, irregular heartbeat, or the adequacy of the supply of blood to the heart muscle.
	www.healthatoz.com /healthatoz/Atoz/ency/shortness_of_breath.jsp (1625 words)

	The Journal of Invasive Cardiology
		Acute coronary occlusion secondary to the blunt chest trauma.
		Coronary artery occlusion and acute myocardial infarction secondary to blunt chest trauma have been assumed to be a rare occurrence.
		Injuries of the coronary arteries associated with blunt chest trauma predominantly affect the left anterior descending artery.
	www.podiatrytoday.com /jic/displayArticle.cfm?articleID=article727 (1178 words)

	Polite Dissent » Comics
		These are not normally used in trauma situations (usually only in people with severe underlying lung conditions like bad emphysema), but in this case it’s probably being used because of his flail chest and underlying lung damage.
		Flail chest is common in blunt trauma and occurs when a group of ribs are each broken in two places so that they are no longer tethered to the rest of the chest wall.
		This tells us that Batman has a flail chest.
	politedissent.com /index.php?cat=2 (1178 words)

	The Physician and Sportsmedicine: Delayed Complication of a Rib Fracture
		Two cases (4) of delayed hemothorax have been reported in patients who have had multiple displaced rib fractures resulting from severe blunt chest trauma; one injury occurred in a motor vehicle accident and the other from a 10-ft fall onto a table.
		Most patients who have a rib fracture present with a history of direct trauma with localized pain over the chest wall.
		There was no evidence of pneumothorax or reaccumulation of hemothorax on chest x-ray.
	www.physsportsmed.com /issues/1998/04apr/okane.htm (1178 words)

	Shortness of breath
		The doctor will examine the patient's chest in order to determine the rate and depth of breathing, the effort required, the condition of the patient's breathing muscles, and any evidence of chest deformities or trauma.
		Tumors and certain types of chest deformities can be treated surgically.
		Patients describe dyspnea variously as unpleasant shortness of breath, a feeling of increased effort or tiredness in moving the chest muscles, a panicky feeling of being smothered, or a sense of tightness or cramping in the chest wall.
	www.healthatoz.com /healthatoz/Atoz/ency/shortness_of_breath.jsp (1178 words)

	TRAUMA HANDBOOK - Stony Brook University Hospital and Health Sciences Center
		If the mediastinum is no longer widened but the aortic knob is obscure, then obtain a dynamic chest CT with cuts through the aortic arch.
		If the mediastinum is still widened or an upright film cannot be performed, obtain a dynamic chest CT scan with cuts through the aortic arch.
		The chest x-ray shows a widened mediastinum and a CT scan or TEE cannot be performed.
	www.uhmc.sunysb.edu /surgery/edu/general/trauma/trauma-36.html (424 words)

	UCSD Medical Center: News Releases
		The Trauma System went into action as helicopters transported the three most critically injured patients to the UCSD Trauma Center with gunshot wounds to the head, neck and chest.
		From the McDonalds Massacre in 1984 to the San Diego firestorms last year, the trauma staff has cared for patients injured in major disasters and nearly 32,000 patients in-between.
		Today, it is the first of 10 trauma centers nationally to evaluate the use of blood substitute derived from outdated human blood in the treatment of patients in the field.
	health.ucsd.edu /news/2005/08_17_Trauma.htm (664 words)

	Cesarean Section
		Chest tubes are used to treat conditions that can cause the lung to collapse, such as: air leaks from the lung into the chest (pneumothorax) bleeding into the chest (hemothorax) after surgery or trauma in the chest (pneumothorax or hemothorax) lung abscesses or pus in the chest (empyema).
		The information provided herein should not be used for diagnosis or treatment of any medical condition.
	www.mercydesmoines.org /ADAM/Surgery/chesttubeinsertion_2.asp (664 words)

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