Clinical Case Database / Category: Case Based Discussion

Management of chest trauma in the Emergency Department

Publication details

Dr Clare Ginnis, Dr Sophy Rymaruk, Dr Roger Dalton
Foundation Years Journal, volume 7, issue 2, p.21 (123Doc Education, London, February 2013)

Abstract

A 48 year old man was brought to the Emergency Department by airambulance after colliding into a cliff face whilst paragliding; he had then fallen a further 5 feet to the ground. The pre-alert call to the Emergency Department suggested he had sustained significant thoracic injuries.

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Authors

Dr Clare Ginnis (Corresponding author)

ST4 trainee in Emergency Medicine
Emergency Dept
Northern General Hospital
Herries Road
Sheffild
S5 7AU
clareginnis@yahoo.com

Dr Sophy Rymaruk

F2 trainee
Northern General Hospital
Sheffield

Dr Roger Dalton

Consultant in Emergency Medicine
Northern General Hospital
Sheffield

References

1.  Laws D, Neville E, Duffy J. ‘BTS Guidelines for the Insertion of a Chest Drain.’ Thorax 2003: 58(2); 53-59

2.  American College of Surgeons Committee on Trauma. ‘Advanced Trauma Life Support.’ Eighth Edition 2008

3.  Parry G, Morgan W, Salama F. ‘Management of Haemothorax.’ Annals Royal College of Surgery England 1996: 78(4); 325-6

4.  Exadaktylos A, Sclabas G, Schmid S. ‘Do We Really Need Routine Computed Tomographic Scanning in the Primary Evaluation of Blunt Chest Trauma in Patients with “Normal” Chest Radiograph?’ Journal of Trauma-Injury Infection & Critical Care. 2001: 51(6); 1173-1176

5.  McEwan K, Thompson P. ‘Ultrasound to Detect Haemothorax after Chest Injury.’ Emergency Medicine Journal 2007: 24(12); 867

6.  Miller P, Croce M, Bee T. ‘ARDS after Pulmonary Contusion: Accurate Measurement of Contusion Volume Identifis High-Risk Patients.’ Journal of Trauma Injury Infection & Critical Care 2001: 51(2); 223-230

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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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