Selected topics in chest trauma.

Groskin, Stuart A.

doi:10.1148/radiology.183.3.1584904

Cited by 71 publications

(13 citation statements)

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“…Although a completely normal chest radiograph has a 98±99 % negative predictive value for traumatic aortic injury [7,10,39], it must be kept in mind that in some cases of acute aortic traumatic injury, the chest roentgenogram can be normal [14,43], and the radiograph must be taken in the overall context of the patient's injury and symptoms. A high clinical suspicion of thoracic outlet trauma based on the mechanism of the injury dictates a requirement for CTA or catheter-directed thoracic aortography.…”

Section: Chest Radiographmentioning

confidence: 99%

“…Chest CT has a 100 % negative predictive value in excluding aortic injury, although chest radiographs also have an impressive 98±99 % negative predictive value [7,10,39,44,45,46].…”

Section: Computed Tomographymentioning

confidence: 99%

“…Most patients with blunt thoracic injury and an abnormal chest radiograph can be evaluated with computed tomographic aortography (CTA) or conventional catheter aortography. The most common site of aortic disruption resulting in an acute thoracic aortic pseudoaneurysm is at the aortic isthmus [1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21]; the second most common location is just above the aortic valve.…”

Section: Introductionmentioning

confidence: 99%

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Acute traumatic tear of the base of the brachiocephalic artery after blunt trauma: report of a rare case and review of the literature

Cirillo

McDermott

Crummy

2001

Emergency Radiology

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This report describes a patient who presented to our institution after a high-speed motor vehicle accident with an abnormal superior mediastinum as shown on supine chest radiograph. Helical computed tomographic aortography and thoracic aortography revealed the patient to have a pseudoaneurysm in a rarely encountered site, in the anterolateral region of the right brachiocephalic artery. The imaging features of this case and the relevant literature are reviewed.

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Section: Chest Radiographmentioning

confidence: 99%

“…Chest CT has a 100 % negative predictive value in excluding aortic injury, although chest radiographs also have an impressive 98±99 % negative predictive value [7,10,39,44,45,46].…”

Section: Computed Tomographymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Acute traumatic tear of the base of the brachiocephalic artery after blunt trauma: report of a rare case and review of the literature

Cirillo

McDermott

Crummy

2001

Emergency Radiology

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“…Chest trauma is classified as blunt or penetrating; blunt trauma accounts for approximately 90% of all traumas [4]. The main mechanisms of blunt chest injury include direct chest impact, chest compression, and acceleration/deceleration injury.…”

Section: Introductionmentioning

confidence: 99%

Ultrasonographic evaluation of costal cartilage fractures unnoticed by the conventional radiographic study and multidetector computed tomography

Lee

Kim

Chee

et al. 2011

Eur J Trauma Emerg Surg

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The results of this study suggest that ultrasonography may be a useful imaging method for detecting costal cartilage fractures overlooked on conventional radiographs and computed tomography in patients with minor blunt chest trauma. Early ultrasonographic evaluation can give more accurate information than clinical and radiologic evaluation in detecting costal cartilage fractures and sternal fractures that are overlooked on conventional radiography and computed tomography after minor blunt chest trauma.

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“…For every 30 seconds, a person dies as the result of a traffic crash, and the country with the most such deaths is Brazil. [1][2][3] Forty percent of thoracic trauma cases are fatal. Given the potentially devastating consequences of a missed cervical spine injury, timely and accurate diagnosis of cervical spine injury is essential to the optimal management of patients with blunt trauma.…”

mentioning

confidence: 99%

Evaluation of the Effectiveness of Systematized Training of Advanced Trauma Life Support Protocol in the Interpretation of Cervical Spine and Chest Radiographs in Three Different Emergency Services

Job

Bahten

Oliveira-Junior

2011

Journal of Trauma: Injury, Infection &Amp; Critical Care

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Introduction: Most Brazilian hospitals have no medical radiologists for emergencies. The radiologic evaluation is provided by doctors with heterogeneous generalist training. The objective is to demonstrate the need for systematization in the care of trauma in the interpretation of cervical spine and chest radiographs. Is it possible that, through a continuing education program, generalist doctors could be trained in the evaluation of these radiographs? Materials and Methods: Twenty-five doctors of various specialties were evaluated in the mid region of Santa Catarina Stage, in three stages. Initially, the doctors evaluated seven cervical spine radiographs and seven chest radiographs (stage I). After this evaluation (without knowing the results of the examinations), the doctors received advanced trauma life support protocol training for the interpretation of cervical spine and chest radiographs, through an exhibition class (stage II). Three weeks later, the same doctors were evaluated again, interpreting the same radiographs. Results: The mean percentage of correct answers was 60.73% in the first interpretation of cervical radiographs and 65.25% for the chest radiographs. None of the participant had reached 100%. In stage III, the average success rates in cervical spine and chest radiographs were 86.95% and 87.53%, respectively, an improvement of 21.72% and 26.18% (p Ͻ 0.001). During evaluation in the stage III, seven doctors obtained 100% success in the evaluation of cervical spine radiographs and two doctors achieved 100% success in the evaluation of chest radiographs. Conclusion: The systematized training, through the advanced trauma life support protocol, significantly increased the success rate of the evaluation of cervical spine and chest radiographs.

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Selected topics in chest trauma.

Cited by 71 publications

References 0 publications

Acute traumatic tear of the base of the brachiocephalic artery after blunt trauma: report of a rare case and review of the literature

Acute traumatic tear of the base of the brachiocephalic artery after blunt trauma: report of a rare case and review of the literature

Ultrasonographic evaluation of costal cartilage fractures unnoticed by the conventional radiographic study and multidetector computed tomography

Evaluation of the Effectiveness of Systematized Training of Advanced Trauma Life Support Protocol in the Interpretation of Cervical Spine and Chest Radiographs in Three Different Emergency Services

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