ECMO-/ECLS

vascular injury and can rule out life-threatening aortic or major vessel injury with a negative predictive value approaching 100 ...

findings, CT scan of the chest may be considered in patients with severe thoracoabdominal trauma who are unable to communicate, ...

repair (TEVAR) in the management of traumatic aortic injuries in children. Between 1999 and 2012, at least 12 patients younger t ...

injury after major blunt chest trauma, occurring in up to 48% of all pediatric thoracic trauma patients. The most common causes ...

Pulmonary contusions result in respiratory compromise due to ventilation-perfusion mismatch, impaired pulmonary compliance, hypo ...

Hemothoraces develop from bleeding into the pleural space, which may originate from intercostal vessels, lung parenchymal injury ...

the 4th rib. After the administration of local anesthesia, a small transverse incision is then made below the 4th or 5th interco ...

evacuation of the pleural air should be performed with a 14 gauge needle thoracostomy at the second intercostal space, mid-clavi ...

initial presentation. Although rib fractures alone are usually of minimal clinical significance, 70% of patients with multiple r ...

Children with rib fractures are managed with supportive care, pain control, and aggressive pulmonary toilet. Non-steroidal anti- ...

unit. Available prosthesis includes stainless steel wires, metal plates or struts, and absorbable plates and screws. Reports of ...

in the emergency room. A normal EKG requires no further cardiac evaluation or monitoring and the patient may be discharged home ...

to 80% of injuries occur within 2 cm of the carina, most commonly the proximal right main stem bronchus. Physical findings sugge ...

approach allows access to the trachea and right-sided bronchial injuries, while the left approach permits access to left bronchi ...

Concern for esophageal perforation should be further evaluated with a water-soluble esophagram. Up to 15% of perforations may be ...

absorb a significant amount of kinetic energy. A common sequelae of diaphragm injury is herniated abdominal viscera into the tho ...

Once diaphragmatic injury is identified, operative repair is indicated. Primary repair can be achieved through a laparotomy inci ...

abnormal EKG and hemodynamically instability to look for structural cardiac pathology, such as impaired wall motion or valvular ...

Once sudden cardiac arrest is identified, management should follow the advanced cardiac life support algorithm. Chest compressio ...

aortic contour abnormalities, peri-aortic hematoma, focal aortic dissection, endoluminal thrombus, or active contrast extravasat ...