Patient (condition)
 
Aliases:
Penetrating chest injury

Topic aliases are alternate phrasings for a particular topic.


CXR is not a sensitive test (28-72%) for detecting pneumothorax in the supine patient. Ultrasound is better (86-98%). refl.in/7y

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"The vigorous administration of fluids to patients with penetrating chest trauma has the potential to significantly increase blood loss" - Sheep model of pulmonary vascular injury. Sakles et al Annal Emerg Med 29: 392-399 1997 refl.in/7z

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Potential for blood loss >40% of circulating volume. Ensure adequate O-negative blood or cross-matched blood is available.

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Remember "AAA therapy":
1. ADT (update tetanus immunisation if needed),
2. Analgesia (e.g. IV morphine) and
3. Antibiotics (e.g. cephazolin 1g IV prophylaxis for penetrating chest trauma)
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