Current trends of clinico-radiological findings, management and outcomes of chest trauma patients in a tertiary health care hospital in Western India

Authors

  • Dharmendra K. Shah Department of General Surgery, S.S.G. Hospital and Medical College Baroda, Vadodara, Gujarat, India
  • Ashish H. Patel Department of General Surgery, S.S.G. Hospital and Medical College Baroda, Vadodara, Gujarat, India
  • Shivani R. Chaudhary Department of General Surgery, S.S.G. Hospital and Medical College Baroda, Vadodara, Gujarat, India
  • Bhavya Sharma Department of General Surgery, S.S.G. Hospital and Medical College Baroda, Vadodara, Gujarat, India http://orcid.org/0000-0002-9854-6815
  • Tejas B. Vaghani Department of General Surgery, Government Medical College, Surat, Gujarat, India

DOI:

https://doi.org/10.18203/2349-2902.isj20223159

Keywords:

Chest trauma, Tube thoracostomy, Flail chest, Hemothorax, Road traffic accident

Abstract

Background: There has been a rapidly rising trend of trauma cases, especially chest trauma; necessitating an in-depth study of its complications and management.

Methods: We have studied 120 patients presenting to our emergency department for the demographics and etiology of their injury and recorded the results and outcomes of their radiological and clinical investigations and management protocol.

Results: Middle aged men were the primary victims of chest trauma, mostly having blunt injuries and presenting with respiratory distress. A range of pleural and visceral injuries were seen like hemothorax, pneumothorax, flail chest; the mainstay of treatment for them being minimally invasive tube thoracostomy. We encountered a low mortality rate of 1.66%.

Conclusions: Rapid intervention and resuscitation for all trauma cases prove to be lifesaving, amongst which focus on thoracic injuries must be primary. Ever increasing incidences of polytrauma cases indicate the requirement of strict vigilance and prevention of road traffic accidents.

Author Biographies

Dharmendra K. Shah, Department of General Surgery, S.S.G. Hospital and Medical College Baroda, Vadodara, Gujarat, India

Additional Professor and Head of Unit
Department of General Surgery

Ashish H. Patel, Department of General Surgery, S.S.G. Hospital and Medical College Baroda, Vadodara, Gujarat, India

Assistant Professor

Department of General Surgery

Shivani R. Chaudhary, Department of General Surgery, S.S.G. Hospital and Medical College Baroda, Vadodara, Gujarat, India

Senior Resident

Department of General Surgery

Bhavya Sharma, Department of General Surgery, S.S.G. Hospital and Medical College Baroda, Vadodara, Gujarat, India

3rd year M.B.B.S student

Tejas B. Vaghani, Department of General Surgery, Government Medical College, Surat, Gujarat, India

Senior Resident

Department of General Surgery

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Published

2022-11-28

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Original Research Articles