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from Section 3.13 - Severe Trauma and Multiple Injuries
Published online by Cambridge University Press: 27 July 2023
Key Learning Points
1. Thoracic trauma accounts for a large proportion of trauma-related mortality, with many patients not even surviving to reach hospital.
2. Multi-system injuries are common, and as such, a systematic advanced trauma life support assessment must be carried out to ensure nothing is missed.
3. The location, velocity and type of trauma inflicted (e.g. blunt versus penetrating) are important factors for predicting the extent and severity of an injury.
4. Bedside investigations through focused echocardiography, invasive monitoring and appropriately timed computed tomography scans are essential in aiding clinicians’ diagnosis of life-threatening injuries.
5. Effective management involves the presence of a multidisciplinary team, including anaesthetists, intensivists, general surgeons and thoracic surgeons.
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