High-velocity penetrating thoracic trauma with suspected cardiac involvement in a combat support hospital

Dominguez, Francisco; Beekley, Alec C.; Huffer, Linda; Gentlesk, Philip J.; Eckart, Robert E.

doi:10.1007/s11748-010-0762-0

Cited by 6 publications

(3 citation statements)

References 14 publications

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“…Approximately 30% cases of penetrating heart injury could be diagnosed by ECG with the presence of the following signs: low QRS voltage, ST-segment elevation, inverted T waves, etc. [ 42 , 43 ].…”

Section: Early Treatments For Wartime Thoracic Injury In Modern Warfamentioning

confidence: 99%

Chinese expert consensus on echelons treatment of thoracic injury in modern warfare

et al. 2018

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The emergency treatment of thoracic injuries varies of general conditions and modern warfare. However, there are no unified battlefield treatment guidelines for thoracic injuries in the Chinese People’s Liberation Army (PLA). An expert consensus has been reached based on the epidemiology of thoracic injuries and the concept of battlefield treatment combined with the existing levels of military medical care in modern warfare. Since there are no differences in the specialized treatment for thoracic injuries between general conditions and modern warfare, first aid, emergency treatment, and early treatment of thoracic injuries are introduced separately in three levels in this consensus. At Level I facilities, tension pneumothorax and open pneumothorax are recommended for initial assessment during the first aid stage. Re-evaluation and further treatment for hemothorax, flail chest, and pericardial tamponade are recommended at Level II facilities. At Level III facilities, simple surgical operations such as emergency thoracotomy and debridement surgery for open pneumothorax are recommended. The grading standard for evidence evaluation and recommendation was used to reach this expert consensus.

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Section: Early Treatments For Wartime Thoracic Injury In Modern Warfamentioning

confidence: 99%

Chinese expert consensus on echelons treatment of thoracic injury in modern warfare

et al. 2018

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“…8 The impact of the study has been seen on the management of both civilian and military populations in the United States and abroad. [9][10][11] The ripple effect of this article extends well past the management of the TMGSW patient. With the success of CT scanning as a screening tool for hemodynamically stable patients with a TMGSW, CT scan use for penetrating injury was expanded sequentially to other truncal locations including the flank, pelvis, and thoracoabdominal region.…”

mentioning

confidence: 99%

“…8 The impact of the study has been seen on the management of both civilian and military populations in the United States and abroad. 9-11…”

mentioning

confidence: 99%

A Review of “Reevaluation of Diagnostic Procedures for Transmediastinal Gunshot Wounds” (2002)

Stassen

2020

The American Surgeon™

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Injury to the Heart and Great Vessels

Tsai,

Wall,

Mattox

2016

Sabiston and Spencer Surgery of the Chest

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High-velocity penetrating thoracic trauma with suspected cardiac involvement in a combat support hospital

Abstract: This case series is too small to draw definitive conclusions; however, a multidisciplinary approach to high-velocity injuries with potential for cardiac involvement augments preoperative assessment for myocardial injury and may allow selective nonoperative management.

Cited by 6 publications

References 14 publications

Chinese expert consensus on echelons treatment of thoracic injury in modern warfare

Chinese expert consensus on echelons treatment of thoracic injury in modern warfare

A Review of “Reevaluation of Diagnostic Procedures for Transmediastinal Gunshot Wounds” (2002)

Injury to the Heart and Great Vessels

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