Pulmonary Contusion: Evaluation and Classification by Computed Tomography

Wagner, Robert B.; Jamieson, Peter

doi:10.1016/s0039-6109(16)44732-8

Cited by 108 publications

(44 citation statements)

References 12 publications

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“…Wagner & Jamieson [92] used chest CT as the basis of their scoring system. In their classification, parenchymal injuries to the lung were evaluated by means of morphologic changes on the thoracic CT scan, the accident mechanism, and the localization of associated rib fractures.…”

Section: Ct-dependent Score (Wagner and Jamieson)mentioning

confidence: 99%

Diagnostics and Scoring in Blunt Chest Trauma

Hildebrand

Griensven

Garapati

et al. 2002

European Journal of Trauma

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Background: Blunt chest trauma is frequently present in patients with multiple trauma. In polytraumatized patients thoracic injuries have significant influence on the treatment strategy, not only in the emergency room but also in the intensive care unit. They also affect the decision-making concerning fracture management. The vital role played by blunt chest trauma in the outcome after multiple injuries is highlighted by the fact that polytraumatized patients with severe thoracic trauma have a higher mortality rate than patients with the same injury severity without thoracic trauma. Diagnostics and Injury Severity: Within the broad category of thoracic trauma, there are many different types of injuries. Therefore it is crucial for the treating physician to promptly make the correct diagnosis and to quantify the severity of the injury. This will allow the selection of an appropriate treatment protocol and ensure the best possible outcome for the patient. Scoring Systems: Additionally, various treatment protocols for management can only be evaluated scientifically if the assessment of the trauma severity is standardized. Thus, a reliable CT-independent classification of the severity of thoracic trauma is essential. The "Thoracic Trauma Severity Score" (TTS) is a CT-independent classification of thoracic trauma that is reliable and can be performed quickly in the emergency room. This will allow for adequate treatment of thoracic trauma and the prevention of secondary complications.

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Section: Ct-dependent Score (Wagner and Jamieson)mentioning

confidence: 99%

Diagnostics and Scoring in Blunt Chest Trauma

Hildebrand

Griensven

Garapati

et al. 2002

European Journal of Trauma

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show abstract

“…CT imaging may also help with clinical prognosis. Studies have demonstrated that the amount of injured lung volume predicts the need for mechanical ventilation (>28% lung volume) 9,12 and the development of acute respiratory distress syndrome (>20% lung volume). 4,13 The management of pulmonary contusion is supportive and depends on the extent of the injury.…”

Section: Discussionmentioning

confidence: 99%

Multiple pulmonary contusions in a collegiate football player

2014

SWRCCC

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IntroductIonThis is an uncommon case of a college football player who sustained moderate-sized pulmonary contusions with unique features of coup/contrecoup lesions. The diagnosis of pulmonary contusion is usually made on clinical symptoms of dyspnea, hemoptysis, and chest wall pain. If available, computed tomography (CT) is the preferred method of confirmation. Treatment is supportive and depends on the extent of the injury. case PresenttIonA 19-year-old previously healthy, non-smoking collegiate football player was involved in a hel-

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“…(2)(3)(4) The primary cause of traumatic lung injuries are automobile accidents (5,6) Trauma may produce injuries in the intrathoracic organs. In the case of pulmonary contusions, the most common of the parenchymal injuries are atelactasis, lacerations and hematomas.…”

Section: Introductionmentioning

confidence: 99%

“…(6,7) Pulmonary contusion is the most common traumatic parenchymal injury (7,8) Pathophysiological changes derive from the effects produced by loss of integrity of the thoracic wall, accumulation of fluid in the pleural cavity, obstruction of the airway and pulmonary dysfunction. Normally, contusion appears in four to six hours after trauma and disappears in four to six days, an abrupt onset of parenchymal opacification and its rapid disappearance are characteristics of pulmonary contusion.…”

Section: Introductionmentioning

confidence: 99%