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Trauma, Vol. 5, No. 2, 123-136 (2003)
DOI: 10.1191/1460408603ta277oa

Thoracic trauma: principles of early management

Nigel RM Tai

Johannesburg Hospital Trauma Unit, Johannesburg, South Africa

Kenneth D Boffard

Johannesburg Hospital Trauma Unit, Johannesburg, South Africa, trauma{at}mweb.co.za

Thoracic trauma remains an important cause of early and late mortality in the injured patient. This review provides an overview of the emergency room management of thoracic trauma, amplifying the approach and principles of Advanced Trauma Life Support. The presentation, pathophysiology, diagnosis and treatment of the 12 most significant thoracic injuries are described. Focusing on emergency room management, and using the concept of the ‘lethal six’ and ‘hidden six,’ appropriate management strategies are detailed.

Key Words: hidden six • lethal six • management • review • thoracic • trauma


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