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Abstract

Evaluation of Thoracic Trauma in the Emergency Department


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Authors
Mehmet Resit Oncu, Ufuk Çobanoğlu

J Clin Anal Med 2018;9(5):386-390
doi:10.4328/JCAM.5753

Abstract

~~AIM: The aim of this study was to evaluate patients with thoracic trauma in the emergency unit, detection of life-threatening injuries, and to plan a treatment method.
METHODS: The patients were investigated with regard to age, gender, cause of trauma, clinical findings and level of consciousness, intrathoracic pathologies, accompanying injuries, seasonal relations of the traumas, treatments and surgical interventions, morbidity and mortality.
RESULTS: Among the 251 patients enrolled in the study, 224 (89,2%) were male and 27 (10,8%) were female; the mean age was 42,5 (range: 6-91) years among women and 36.4 (range: 9-85) among men. The type of the traumas was blunt thoracic trauma in 183 patients (72,9%) and penetrating thoracic trauma in 68 (27,1%). The most common causes of trauma were in-vehicle accidents in 82 (32,7%) and falls from heights in 56 (22,3%). Parenchymal thoracic pathologies were hemopneumothorax in 134 (53,4%) patients, pulmonary contusion in 102 (44,6%), pneumothorax in 75 (29,9) and hemothorax in 40 (16 %) patients. 232 (92,4%) of the cases were conscious, whereas 18 (7.2%) had varying levels of consciousness between somnolence and coma. The treatment methods included tube thoracostomy in 219 (87,6) patients, thoracotomy in 16 (6,4%) and lobectomy in 1 patient. Mortality was observed in 2,4% of the cases (6 cases). 
CONCLUSİON: Since thoracic traumas may lead to mortality and can be accompanied by injuries including multiple systems, patients should be evaluated by a multidisciplinary team experienced in traumas, and treatment should begin immediately.



Keywords : Emergency unit, thoracic traumas, car accidents, first treatment,

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How to Cite :
Mehmet Resit Oncu, Ufuk Çobanoğlu, Evaluation of Thoracic Trauma in the Emergency Department, J Clin Anal Med 2018;9.(5):386-390