Thoracic Injury


Injuries to the thorax is the second leading cause of trauma death in children. Early recognition and appropriate management is critical to patient outcome.
  • Management considerations:
    • Administer supplemental oxygen if a thoracic injury is suspected and assist ventilations if necessary
    • Apply a 3 sided occlusive dressing of any open injury to the torso and assess for tension pneumothorax
    • Identify flail segments and splint with dressing/tape (use caution to not restrict breathing)
    • Secure any impaled objects in place, do not attempt to remove unless it interferes with CPR
    • Attach cardiac monitor and assess for dysrhythmias
    • Monitor SaO2 and ETCO2