Pediatric thoracic trauma: Current trends

Pearson, Erik G.; Fitzgerald, Caitlin A.; Santore, Matthew T.

doi:10.1053/j.sempedsurg.2017.01.007

Cited by 48 publications

(51 citation statements)

References 37 publications

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“…Pulmonary contusion is the most common chest injury in children, occurring in more than half of all blunt chest traumas [ 5 ]. This is due to the child compliant chest wall that allows parenchyma injury without bony injury.…”

Section: Discussionmentioning

confidence: 99%

Pulmonary contusion after bumper car collision: Case report and review of the literature

Berland¹,

Oger

Cauchois

et al. 2018

Respiratory Medicine Case Reports

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Thoracic trauma is a major source of morbi-mortality in injured children. Their pliable chest wall makes pulmonary contusion the most common chest injury. It is most often secondary to blunt trauma caused by traffic accidents. We report a case of severe chest trauma caused by a bumper car collision in an 8-years old girl. She sustained right lung contusion that led to complete atelectasis. After a week of supportive therapy, bronchoscopy removed a mucous plug from the main bronchus, resulting in significant clinical improvement. We aim to raise awareness of the risk of severe chest injuries during bumper car collisions.

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Section: Discussionmentioning

confidence: 99%

Pulmonary contusion after bumper car collision: Case report and review of the literature

Berland¹,

Oger

Cauchois

et al. 2018

Respiratory Medicine Case Reports

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“…Penetrating thoracic injuries have 4%-25% estimated risk of mortality among children [9]. Their anatomic and physiologic body differences put them at greater risk [3,9,10]. They have a relatively thinner chest wall and more vital organs compacted in a smaller area leading to an increased risk of organ injury with penetrating trauma compared to adults [3,10].…”

Section: Introductionmentioning

confidence: 99%

“…Their anatomic and physiologic body differences put them at greater risk [3,9,10]. They have a relatively thinner chest wall and more vital organs compacted in a smaller area leading to an increased risk of organ injury with penetrating trauma compared to adults [3,10]. Also, children are more prone to tension pneumothorax and obstructive shock from any pneumothorax due to their mobile mediastinum [10,11].…”

Section: Introductionmentioning

confidence: 99%

“…They have a relatively thinner chest wall and more vital organs compacted in a smaller area leading to an increased risk of organ injury with penetrating trauma compared to adults [3,10]. Also, children are more prone to tension pneumothorax and obstructive shock from any pneumothorax due to their mobile mediastinum [10,11]. Their tissues have higher rate of oxygen consumption, a lower functional residual capacity to their total lung volume ratio.…”

Section: Introductionmentioning

confidence: 99%

“…Their tissues have higher rate of oxygen consumption, a lower functional residual capacity to their total lung volume ratio. As a result, they are more susceptible to hypoxia [10,11].…”

Section: Introductionmentioning

confidence: 99%

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Patterns of Pediatric Thoracic Penetrating Injuries: a Single Trauma Center Experience – Riyadh, Saudi Arabia

Alaqeel

Howsawi

Namshan

et al. 2020

Preprint

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Background Trauma in pediatric age group is a major cause of morbidity and mortality. The causes and magnitude of pediatric trauma differs from region to region. Many studies have focused on blunt injuries but not on penetrating trauma. Our aim is to identify the patterns, and outcome of pediatric thoracic penetrating injuries in a single trauma center. Methods We conducted a retrospective chart review of pediatric patients who presented with thoracic penetrating injuries from the year 2001 till 2016 in a level 1 trauma center. Patients aged 18 years or less who presented to our emergency department with thoracic penetrating injury were included. Those transferred from other institutions were excluded Results The total number of patients included with penetrating thoracic injuries were 89. Mean age was 15.5 years. One female the rest were males. The most common mechanism of injury is stab wound by knives in 80%, then Gunshot in 12%. Main mode of transport to emergency department was by private vehicles in 75.3%. Type of injuries sustained were pneumothorax 70.7%, hemothorax 25.8%, diaphragmatic injury 5.6%, hemopericardium 4.49%, lung contusion and laceration 7.8%, cardiac injury 4.49%, major vessel injury 3.4%, pneumomediastinum 2.2%, esophageal injury 1.1%, and rib Fractures 1.1%. In the emergency department, endotracheal intubation required in 13.5%, chest tube insertion 73%, blood transfusion for resuscitation 16.8%, emergency thoracotomy 2.2%, pericardiocentesis 1.1%. Surgical intervention was required in 17%. Mean length of hospital stay 3.87 days ± 4.86 SD. 93% of patients did not require intensive care unit admission. Mortality was observed in 3.4% were all had injuries to either heart, aorta or inferior vena cava. Conclusion In our institution, thoracic injuries were found uncommon and represent 25% of all penetrating trauma. Most sustained penetrating thoracic injuries can be managed nonoperatively safely. However, prompt resuscitation and intervention are required to identify and manage life-threatening ones.

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