Management of the crushed chest.
Summary of "Management of the crushed chest."
Thoracic injuries are very common among trauma victims. This article reviews the current literature on the management of multiple aspects of the care of the patient with severe chest injury. The mechanics of chest injury are complex and varied. Chest wall injuries are the most common and noticeable manifestation of thoracic trauma. Overall morbidity and mortality are primarily determined by associated injuries. New ventilatory strategies permit oxygenation of the severely hypoxic patient. Acute pain management modalities offer the potential of decreasing associated pulmonary complications. Surgical chest wall fixation is clearly indicated in extreme cases of pulmonary herniation and chest wall disruption. There are potential benefits of surgical fixation in other settings, although further trials are needed.
Affiliation
Division of Trauma, Critical Care and Acute Care Surgery, Oregon Health & Science University, Portland, OR, USA. kiralyl@ohsu.edu
Journal Details
This article was published in the following journal.
Name: Critical care medicine
ISSN: 1530-0293
Pages: S469-77
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20724880
- DOI: http://dx.doi.org/10.1097/CCM.0b013e3181ec6731
Medical and Biotech [MESH] Definitions
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Participation of employees with management as a labor-management team, in decisions pertaining to the operational activities of the organization or industry.
Materials Management, Hospital
The management of all procurement, distribution, and storage of equipment and supplies, as well as logistics management including laundry, processing of reusables, etc.
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Business management of medical and dental practices that may include capital financing, utilization management, and arrangement of capitation agreements with other parties.
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Management Audit
Management review designed to evaluate efficiency and to identify areas in need of management improvement within the institution in order to ensure effectiveness in meeting organizational goals.
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