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Trauma
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Paediatric chest trauma (part 2) — Hidden Injuries

Maya Kerr

Paediatric A&E SpR, St Mary's Hospital, mayaelliott{at}yahoo.co.uk

Ian Maconochie

Paediatric A&E SpR, St Mary's Hospital

Chest trauma is the second greatest cause of mortality from trauma, a leading cause of death in children over the age of one. Prompt diagnosis can be difficult as the underlying thoracic injuries are often disproportionately severe compared to the visible surface injury and symptoms may not appear for several hours. Diagnosis are easily underestimated, delayed or missed. This is the second of a 2 part article reviewing Paediatric chest trauma and its current management. The injuries are usefully classified into 6 lethal injuries that need excluding in the primary survey and 6 hidden injuries that must be considered in the secondary survey. The 6 lethal injuries are covered in the first part of this article along with biomechanics and mechanisms of injury. This article looks in depth at the 6 hidden injuries, along with a review of chest trauma in non-accidental injury.

Key Words: paediatric • children • chest • thoracic • trauma • injury • pulmonary contusion • trachiobronchial rupture • cardiac contusion • aortic injury • diaphragm • oesophageal injury • rib fracture • non accidental injury

Trauma, Vol. 10, No. 3, 195-210 (2008)
DOI: 10.1177/1460408608096289
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M. Kerr and I. Maconochie
Paediatric chest trauma (part 1) -- Initial Lethal Injuries
Trauma, July 1, 2008; 10(3): 183 - 194.
[Abstract] [PDF]


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