Urban thoracic trauma: diagnosis and initial treatment of non-cardiac injuries in adults
- Vasileios Leivaditis
(Westpfalz Klinikum, Kaiserslautern, Department of Cardiothoracic and Vascular Surgery, Germany)
- Athanasios Papatriantafyllou (Westpfalz Klinikum, Kaiserslautern, Germany, Department of Cardiothoracic and Vascular Surgery)
- Ioanna Akrida (University General Hospital of Alexandroupolis, Alexandroupolis, Greece, Department of Surgery)
- Michail Galanis (Inselspital, Bern University Hospital, University of Bern, Bern, Department of Thoracic Surgery, Switzerland)
- Emmanouil Dimopoulos (Marienhospital Stuttgart, Stuttgart, Department of General and Visceral Surgery, Germany)
- Anastasia Papaporfyriou (Internal Medicine II, Vienna University Hospital, Vienna, Department of Pulmonology, Austria)
- Benjamin Ehle (Asklepios Lung Clinic Munich-Gauting, Gauting, Department of Thoracic Surgery, Germany)
- Efstratios Koletsis (Patras University Hospital, Patras, Department of Cardiothoracic Surgery, Greece)
- Nikolaos Charokopos (Patras University Hospital, Patras, Department of Cardiothoracic Surgery, Greece)
- George Pappas-Gogos (Patras University Hospital, Patras, Department of Surgery, Greece)
- Francesk Mulita (University General Hospital of Alexandroupolis, Alexandroupolis, Department of Surgery, Greece)
- Georgios-Ioannis Verras (University General Hospital of Alexandroupolis, Alexandroupolis, Department of Surgery, Greece)
- Konstantinos Tasios (University General Hospital of Alexandroupolis, Alexandroupolis, Department of Surgery, Greece)
- Vasiliki Garantzioti (University General Hospital of Alexandroupolis, Alexandroupolis, Department of Surgery, Greece)
- Levan Tchabashvili (University General Hospital of Alexandroupolis, Alexandroupolis, Department of Surgery, Greece)
- Manfred Dahm (Westpfalz Klinikum, Kaiserslautern, Department of Cardiothoracic and Vascular Surgery, Germany)
- Konstantinos Grapatsas (Ruhrlandklinik, West German Lung Center, University Hospital Essen, University Duisburg-Essen , Essen, Department of Thoracic Surgery and Thoracic Endoscopy, Germany)
Abstract
This comprehensive review aims to delineate the prevailing non-cardiac thoracic injuries occurring in urban environments following initial on-site treatment and subsequent admission to hospital emergency departments. Our study involved a rigorous search within the PubMed database, employing key phrases and their combinations, including "thoracic injury," "thoracic trauma," "haemothorax," "lung contusion," "traumatic pneumothorax," "rib fractures," and "flail chest." We focused on original research articles and reviews. Non-cardiac thoracic injuries exhibit a high prevalence, often affecting poly-trauma patients, and contributing to up to 35% of polytrauma-related fatalities. Furthermore, severe thoracic injuries can result in a substantial 5% mortality rate. This review provides insights into clinical entities such as lung contusion, traumatic haemothorax, pneumothorax, rib fractures, and sternal fractures. Thoracic injuries represent a frequent and significant clinical concern for emergency department physicians and thoracic surgeons, warranting thorough understanding and timely intervention.
Keywords: hematothorax, pneumthorax, tho-racic trauma, urban trauma
How to Cite:
Leivaditis, V., Papatriantafyllou, A., Akrida, I., Galanis, M., Dimopoulos, E., Papaporfyriou, A., Ehle, B., Koletsis, E., Charokopos, N., Pappas-Gogos, G., Mulita, F., Verras, G., Tasios, K., Garantzioti, V., Tchabashvili, L., Dahm, M. & Grapatsas, K., (2024) “Urban thoracic trauma: diagnosis and initial treatment of non-cardiac injuries in adults”, Medicinski glasnik 21(2), 250-258. doi: https://doi.org/10.17392/1718-21-02
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