Penetrating Thoracic Injury

Durso, Anthony M.; Caban, Kim; Múnera, Felipe

doi:10.1016/j.rcl.2015.02.010

Cited by 40 publications

(37 citation statements)

References 44 publications

(111 reference statements)

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“…In our case, hydrostatic effect caused the injury of the right dome of the diaphragm and rupture of the liver S 3–6 without shrapnel channel in the abdomen. Moreover, the entrance wound was detected in the region of 5–7 ribs between the anterior and the posterior right axillary lines, whereas an exit wound was not detected indicating unknown path of the shrapnel and possible damage of abdominal organs [16]. Not surprisingly, ruptures of S 3–6 segments of the liver were diagnosed at laparotomy.…”

Section: Discussionmentioning

confidence: 99%

Hydrodynamic rupture of liver in combat patient: a case of successful application of “damage control” tactic in area of the hybrid war in East Ukraine

Хоменко¹,

Шаповалов²,

Tsema

et al. 2017

surg case rep

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BackgroundThe hybrid war of Russia against Ukraine has been started in certain districts of Donetsk and Luhansk oblasts within the Donbas area in 2014.Case presentationWe report a clinical case of a combat patient who was injured after the multiple launcher rocket system “Grad” shelling, diagnosed with hydrodynamic liver rupture followed by medical management with application of damage control (DC) tactic in conditions of hybrid war.The patient underwent relaparatomy, liver resection, endoscopic papillosphincterotomy, endoscopic retrograde cholecystopancreatography, stenting of the common bile duct, and VAC-therapy. Applied treatment modalities were effective; the patient was discharged on the 49th day after injury.ConclusionsTo our best knowledge, this is the first report describing a successful application of DC tactic in the hybrid war in East Ukraine. From this case, we suggest that application of DC tactic at all levels of combat medical care could save more lives.

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Section: Discussionmentioning

confidence: 99%

Hydrodynamic rupture of liver in combat patient: a case of successful application of “damage control” tactic in area of the hybrid war in East Ukraine

Хоменко¹,

Шаповалов²,

Tsema

et al. 2017

surg case rep

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“…Drugi kraj zabijene grede je izašao ispod desne miške, (slike 1,2) u prilogu. Otpuštena je kući 01. septembra 2017. godine [8][9][10][11][12][13].…”

Section: Prikaz Slučajaunclassified

Case report of penetrating thoracic trauma in road traffic accident

Gajić¹,

Milojević²,

Rašković³

et al. 2019

ABC - čas urg medicine

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“…In the setting of an explosion, penetrating lung injuries generally occur as secondary blast injuries due to ballistic or nonballistic trauma from projectiles mobilized by the blast wave [36]. Examples of penetrating lung injuries include direct damage to the lung parenchyma (pulmonary laceration or pulmonary contusion), tracheobronchial injury, and pulmonary vascular injury.…”

Section: Penetrating Lung Injuriesmentioning

confidence: 99%

“…The lungs tend to suffer less injury than other organs because they absorb less energy due to their higher elasticity and lower density, so the majority of penetrating pulmonary injuries can be managed successfully with placement of a chest tube [4,36,38]. Tube thoracostomy was the most common surgical procedure performed for management of thoracic injuries in US soldiers during OEF/OIF from 2003-2011, accounting for 47.1 % of all procedures; thoracotomy only accounted for 8.6 % of all procedures [5].…”

Section: Penetrating Lung Injuriesmentioning

confidence: 99%

Blast-related lung injuries

Ferraro

Hiles

2016

Curr Pulmonol Rep

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Blast-related lung injuries are occurring with increased frequency in a variety of circumstances, necessitating that both civilian and military providers across the healthcare spectrum understand how to promptly diagnose and manage these injury patterns. Primary, secondary, and tertiary blast injury mechanisms are most commonly encountered and can result in primary blast lung injury, air embolism, pulmonary contusion, rib fractures, and penetrating lung injuries. Primary blast lung injury occurs when a blast wave injures the lung parenchyma and vasculature and presents as acute dyspnea, cough, and hypoxemia with airspace disease on chest imaging. The treatment of primary blast lung injury, as well as other blast-related lung injuries, involves maintaining oxygenation and using a lung-protective strategy with low tidal volumes and minimal PEEP for patients requiring mechanical ventilation. Pain management, preferably in the form of regional anesthesia, is also crucial in improving outcomes in patients with blast-related lung injury.Keywords Primary blast lung injury . Explosion . Blunt thoracic trauma . Penetrating lung injury A 25-year-old male with no past medical history is transported to a hospital by ambulance after suffering multiple traumatic thoracic injuries when a bomb was detonated within 30 m of him at a sporting event. He has several soft tissue injuries over the torso and extremities. Pressure dressings were applied by first responders with hemostasis achieved. His vital signs include a temperature of 37.8°C, heart rate of 114/min, blood pressure of 92/50 mmHg, respiratory rate of 28/min, and oxygen saturation of 91 % on 15 LPM of oxygen via nonrebreather mask. His thoracic injuries include several leftsided non-displaced rib fractures with associated pulmonary contusion, a left-sided pneumothorax, and primary blast lung injury (PBLI). A chest CT (Fig. 1) in the Emergency Department demonstrates some of these findings. How should his case be managed?

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Penetrating Thoracic Injury

Cited by 40 publications

References 44 publications

Hydrodynamic rupture of liver in combat patient: a case of successful application of “damage control” tactic in area of the hybrid war in East Ukraine

Hydrodynamic rupture of liver in combat patient: a case of successful application of “damage control” tactic in area of the hybrid war in East Ukraine

Case report of penetrating thoracic trauma in road traffic accident

Blast-related lung injuries

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