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Bilateral Tension Pneumothorax

Bilateral ternsion pneumothorax

trauma.org


Tension pneumothorax - CT

Tension pneumothorax - CT

trauma.org


Medial pneumothorax

Left medial pneumothorax.

trauma.org


Tension pneumothorax

Left tension pneumothorax

trauma.org


Haemothorax (erect)

Left haemothorax - erect radiograph

trauma.org


Flail chest pulmonary contusion

Right flail chest and pulmonary contusion

trauma.org


Massive haemothorax

Left massive haemothorax

trauma.org


Haemopneumothorax (close-up)

Left haemopneumothorax - meniscus close-up

trauma.org


Diaphragm laceration

Left diaphragm laceration

trauma.org


Diaphragm rupture

Left diaghragm rupture with stomach herniation

trauma.org


External fixation flail chest historical 1

Historical image of external fixation of flail chest injury


External fixation flail chest historical 2

Historical image of external fixation of flail chest injury


Wide mediastinum - aortic injury

Wide mediastinum - aortic injury

trauma.org


Blunt aortic injury - aortagram

Blunt aortic injury - angiogram

trauma.org


Stab to left back

Stab to left back, knife in situ

Gustavo Loubet


Tension pneumothorax post mortem radiograph

Tension pneumothorax - post mortem radiograph

Harry Voesten, Netherlands


Tension pneumothorax CT

Tension pneumothorax - CT scan


Widened mediastinum - blunt aortic injury

Widened mediastinum - blunt aortic injury

Kari Schr?Hansen, Bergen, Norway


Mediastinal air - oesophageal perforation

Mediastinal air from perforated oesophagus

Harry Voesten, Netherlands


Diaphragm rupture and stomach herniation - delayed presentation

Diaphragm rupture and stomach herniation - delayed presentation

Carlos Ramos Hinds, El Salvador


Diaphragm laceration - laparotomy

Diaphragm laceration

Andrei Amatuzzi & Marolon Rangel, Cajuru Trauma Center, Brazil


Right upper lobe collapse

Right upper lobe collapse from tracheal tube

trauma.org


Sternal fracture

Sternal fracture

Luis Filipe Pinheiro and Jo㯠Leit㯬 Hospital de Viseu, Portugal


Multiple left sided rib fractures

Multiple left sided rib fractures

Eduardo Bastos, Emergency Department, Mara, Brazil


Emergency department thoracotomy & lung injury

emergency department thoracotomy & lung injury

Mande Toubkin, National Trauma Coordinator, Netcare, South Africa


Haemothorax - supine chest radiograph

Haemothorax - supine radiograph

trauma.org


Traumatic asphyxia

traumatic asphyxia

Michael Parr, Liverpool hospital, Sydney, Australia


Penetrating cardiac injury. Temporary balloon occlusion urinary catheter

Penetrating cardiac injury. Temporary balloon occlusion urinary catheter.

Ricardo Antonio Hoppen, Passo Fundo, Rio Grande do Sul, Brazil


Cardiac injury - antenna 01

Cardiac injury with car antenna

Frederick Foss


cardiac injury - antenna 02

Cardiac injury with car antenna

Frederick Foss


Cardiac injury - antenna 03

Cardiac injury with car antenna

Frederick Foss


Cardiac injury - antenna 04 - thoracotomy

Cardiac injury with car antenna - thoracotomy

Frederick Foss


Pneumothorax - Simple

Simple pneumothorax

Dirk Soulliaert


Simple pneumothorax - close-up

Simple pneumothorax - close up

Dirk Soulliaert


Right diaphragm laceration

Right diaphragm laceration

Harry Voesten, Netherlands


Right diaphragm laceration - laparotomy

Right diaphragm laceration at laparotomy

Harry Voesten, Netherlands


Right chest crush - clinical

Right chest crush injury

Fernando Rodriguez, Mexico City


Right chest crush - radiograph

Right chest crush injury

Fernando Rodriguez, Mexico City


Left diaphragm laceration stomach spleen herniation

Left diaphragm laceration with stomach & spleen herniation

trauma.org


Left diaphragm laceration stomach spleen herniation - CT

Left diaphragm rupture (blunt) with stomach & spleen herniation.

trauma.org


Left diaphragm laceration stomach spleen herniation - Laparotomy

Left diaphragm rupture (blunt) with stomach & spleen herniation - Laparotomy

trauma.org


Left diaphragm laceration stomach spleen herniation - laparotomy 02

Left diaphragm laceration with stomach & spleen herniation - laparotomy view showing stomach injury

trauma.org


Left diaphragm laceration stomach spleen herniation - repair

Left diaphragm laceration with stomach & spleen herniation - repair

trauma.org


Lung hernia, chest wall defect - 01

Lung hernia and chest wall defect

Bradley R. Davis, University of Cincinnati


Lung hernia, chest wall defect - 02

Lung hernia and chest wall defect

Bradley R. Davis, University of Cincinnati


Massive subcutaneous emphysema - clinical 01

Massive subcutaneous emphysema

Harry Voesten, Netherlands


Massive subcutaneous emphysema - clinical 02

Massive subcutaneous emphysema

Harry Voesten, Netherlands


Massive subcutaneous emphysema - clinical 03

Massive subcutaneous emphysema

Harry Voesten, Netherlands


Massive subcutaneous emphysema - radiograph

Massive subcutaneous emphysema - Radiograph

Harry Voesten, Netherlands


Massive subcutaneous emphysema - CT

Massive subcutaneous emphysema - CT

Harry Voesten, Netherlands


Right crush chest, rib fracture fixation 03

Right crush chest, rib fracture fixation at thoracotomy

Carlos Ramos Hinds, El Salvador


Right crush chest, rib fracture fixation 02

Right crush chest, after positive pressure ventilation

Carlos Ramos Hinds, El Salvador


Right crush chest, rib fracture fixation

Right crush chest, chest radiograph

Carlos Ramos Hinds, El Salvador


Right crush chest, rib fracture fixation 04

Right crush chest, post-op radiograph

Carlos Ramos Hinds, El Salvador


Open pneumothorax, lung injury 02

Chest wall injury & open pneumothorax

Pedro Gustavo Rezende Teixeira, Belo Horizonte, Brazil


Open pneumothorax, lung injury 01

Chest wall injury & open pneumothorax

Pedro Gustavo Rezende Teixeira, Belo Horizonte, Brazil


Open pneumothorax, lung injury - thoracotomy

Chest wall injury & open pneumothorax

Pedro Gustavo Rezende Teixeira, Belo Horizonte, Brazil


Tension haemothorax 03 - CT

Left tension haemothorax

trauma.org


Tension haemothorax 02 - CT

Left tension haemothorax

trauma.org


Tension haemothorax 01

Left haemothorax

trauma.org


Tension gastrothorax 03

Tension gastrothorax

trauma.org


Tension gastrothorax 02

Tension gastrothorax

trauma.org


Tension gastrothorax 01

Tension gastrothorax

trauma.org


Laceration to intra-thoracic trachea 01

Laceration to intra-thoracic trachea

Yusuf Bayrak, Istanbul Medical School Department of Thoracic Surgery


Laceration to intra-thoracic trachea 01

Laceration to intra-thoracic trachea

Yusuf Bayrak, Istanbul Medical School Department of Thoracic Surgery


Tension pneumothorax despite chest tubes - CT 01

Tension pneumothorax despite chest tubes - right tension pneumothorax

trauma.org


Tension pneumothorax despite chest tubes - CT 01

Tension pneumothorax despite chest tubes - CT shows chest tubes in oblique fissures

trauma.org


Tension pneumothorax despite chest tubes - radiograph with chest tubes

Tension pneumothorax despite chest tubes - radiograph after chest tube placement

trauma.org


Tension pneumothorax despite chest tubes - initial radiograph

Tension pneumothorax despite chest tubes - initial radiograph

trauma.org


Stab wounds to back

Multiple stab wounds to back

Harry Voesten, Netherlands


Stab wounds to back - front view

Stab wounds to back

Harry Voesten, Netherlands


Penetrating cardiac injury - stab to precordium

Penetrating cardiac injury - stab to precordium

Dr. Ricardo Antonio Hoppen, Passo Fundo, Rio Grande do Sul, Brazil


Penetrating cardiac injury - stab to precordium & resuscitative thoracotomy

Penetrating cardiac injury and emergency department thoracotomy

Dr. Ricardo Antonio Hoppen, Passo Fundo, Rio Grande do Sul, Brazil


Chylothorax

Chylothorax

Yoram Kluger, Rabin Trauma Center


Left diaphragm injury with stomach, colon herniation 03

Left diaphragm injury with stomach, colon herniation

Renato Borba, Brazil


Left diaphragm injury with stomach, colon herniation 02

Left diaphragm injury with stomach, colon herniation

Renato Borba, Brazil


Left diaphragm injury with stomach, colon herniation 01

Left diaphragm injury with stomach, colon herniation

Renato Borba, Brazil


Left chest impalement

left chest impalement

trauma.org


Shotgun wound to chest - lung injury at thoracotomy

Shotgun wound to left chest

Luis Filipe Pinheiro, Hospital S㯠Teot󮩯, Viseu, Portugal


Shotgun wound to chest

Shotgun wound to left chest

Luis Filipe Pinheiro, Hospital S㯠Teot󮩯, Viseu, Portugal


Right ventricular stab - knife in situ - repair

Right ventricle injury, repair

Marcelo Miranda, Hospital Regional de Sorocaba, Sorocaba, Brazil


Right ventricular stab - knife in situ - chest radiograph

Right ventricular stab with right haemothorax. Chest radiograph.

Marcelo Miranda, Hospital Regional de Sorocaba, Sorocaba, Brazil


Right ventricular stab - knife in situ 02

Right ventricular stab - knife in situ

Marcelo Miranda, Hospital Regional de Sorocaba, Sorocaba, Brazil


Right ventricular stab - knife in situ - clamp control

Right ventricle injury, clamp control

Marcelo Miranda, Hospital Regional de Sorocaba, Sorocaba, Brazil


Right ventricular stab - knife in situ 01

Right venticular stab - knife in situ

Marcelo Miranda, Hospital Regional de Sorocaba, Sorocaba, Brazil


Aortic arch injury - CT 01

Aortic arch injury - Mediastinal haematoma on CT

trauma.org


Aortic arch injury - CT 04

Aortic arch injury - arch pseudoaneurysm

trauma.org


Aortic arch injury - CT 02

Aortic arch injury - arch pseudoaneurysm

trauma.org


Aortic arch injury - CT 03

Aortic arch injury - arch pseudoaneurysm

trauma.org


Stab chest, haemothorax, liver & diaphragm injury - chest radiograph

Haemothorax with diaphragm & liver injury

trauma.org


Left diaphragm injury - blunt injury

Left diaphragm rupture - blunt

Vimal Kumar Govindan, Coimbatore, India


Gunshot wound to right lung, right atrium / suprahepatic IVC 01

Gunshot wound to right lung middle lobe

trauma.org


Gunshot wound to right lung, right atrium / suprahepatic IVC 02

Gunshot to right atrium / IVC

trauma.org


Gunshot wound to right lung, right atrium / suprahepatic IVC 03


FAST: haemothorax

FAST: Haemothorax


Tension pneumothorax

Left tension pneumothorax

Rafael Andrade-Alegre, MD. Thoracic Surgery. Panamá, Republic of Panamá


Right Chest Impalement

Right chest impalement

Equipe de Cirurgia Geral, Hospital Regional - Itapetininga, São Paulo, Brazil.


Pneumopericardium

High energy blunt trauma

Leonardo Hassegawa - Curitiba, Brazil


Right sided tension pneumothorax after kick from horse

Resolved tension pneumothorax post chest drain insertione

Bjørn Håvard Wold


Right sided tension pneumothorax after kick from horse

Right tension pneumothorax post kick from horse

Bjørn Håvard Wold


Articles

Tension Pneumothorax

The diagnosis and management of tension pneumothorax.

Karim Brohi, London, UK, July 01, 2006

Diagnosis and management of tension pneumothorax.

Case Presentations

A Stab Wound to the Right Auriculoventricular Junction

sam zeraatian nejad davani, October 18, 2010

A patient came to our hospital trauma center with profound shock following a stab attack. The stab entry point was the right anterior chest wall. The injury was repaired and the patient discharged following a good recovery.

Biventricular shotgun injury of the heart

with involvment of proximal RCA and LAD

sam zeraatian nejad davani, July 31, 2010

20 years old man came with profound shock and bilateral massive hemothorax and jugular vein distension as result of cardiac tamponade. He underwent successful cardiac repair and had an uneventful post operative course.

Penetrating Cardiac Injuries

How to get the best possible outcome?

Denis Allard, GF Jooste hospital Manenberg, January 10, 2009

82% survival in 35 consecutive stab heart patients was achieved in a South African metropolitan community hospital during the year 2008. Excellent and expediant prehospital management, skilled emergency room personnel and available surgical skill is necessary to achieve these results. The survival rate depends on the number of patients analyzed. The last 160 patients have a 70% survival rate, the last 35 patients have an 82% survival rate. Every surgical team can achieve good results under appropriate leadership.

Classic Case: Tension Haemothorax

A classic description of the tension haemothorax

Karim Brohi, London, UK, July 01, 2006

A classic description of tension haemothorax.

Classic Case: Tension Gastrothorax

Karim Brohi, London, UK, July 01, 2006

A rare case of tension gastrothorax following blunt trauma and diaphragmatic rupture.

Research Blog Entries

PubMed ID: 19680160
J Trauma. 2009 Aug 12.
Authors: Teixeira PG, Inaba K, Oncel D, Dubose J, Chan L, Rhee P, Salim A, Browder T, Brown C, Demetriades D.

Abstract:

OBJECTIVE:: Because of its rarity and high rate of mortality, traumatic blunt cardiac rupture (BCR) has been poorly studied. The objective of this study was to use the National Trauma Data Bank to review the epidemiology and outcomes associated with traumatic BCR. METHODS:: After approved by the institutional review board, the National Trauma Data Bank (version 5.0) was queried for all BCR occurring between 2000 and 2005. Demographics, clinical injury data, interventions, and outcomes were abstracted for each patient. Statistical analysis was performed using an unpaired Student's t test or Mann-Whitney U test to compare means and chi analysis to compare proportions. Stepwise logistic regression analysis was performed to identify independent predictors of inhospital mortality. RESULTS:: Of 811,531 blunt trauma patients, 366 (0.045%) had a BCR of which 334 were available for analysis, with the mean age of 45 years, 65% were men, and their mean Injury Severity Score was 58 +/- 19. The most common mechanism of injury was motor vehicle collision (73%), followed by pedestrian struck by auto (16%), and falls from height (8%). Twenty-one patients (6%) died on arrival and 140 (42%) died in the emergency room. The overall mortality for patients arriving alive to hospital was 89%. Of the patients surviving to operation, 42% survived >24 hours of which 87% were discharged. Survivors were significantly younger (39 vs. 46 years, p = 0.04), had a lower Injury Severity Score (47 vs. 56, p = 0.02), higher Glasgow Coma Scale (10 vs. 6, p < 0.001), and were more likely to present with an systolic blood pressure >/=90 mm Hg (p = 0.01). Nevertheless, none of these factors was found to be an independent risk factor for mortality. CONCLUSION:: BCR is an exceedingly rare injury, occurring in 1 of 2400 blunt trauma patients. In patients arriving alive to hospital, traumatic BCR is associated with a high mortality rate, however, is not uniformly fatal.