Grade four blunt traumatic aortic injury with massive haemothorax: Resuscitation considerations during the primary survey
Advanced Trauma Life Support principles prioritise the management of ‘breathing’ over ‘circulation’ in an acute trauma primary survey. In a tamponaded thoracic aortic rupture, however, this may lead to fatal haemorrhagic shock. In this case, we discuss the resuscitation and management of a patient w...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2020-10-01
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| Series: | Trauma Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644020300571 |
| _version_ | 1798022686881873920 |
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| author | Juliana Ying Liang Mai Andrew Holmes Gert Frahm-Jensen |
| author_facet | Juliana Ying Liang Mai Andrew Holmes Gert Frahm-Jensen |
| author_sort | Juliana Ying Liang Mai |
| collection | DOAJ |
| description | Advanced Trauma Life Support principles prioritise the management of ‘breathing’ over ‘circulation’ in an acute trauma primary survey. In a tamponaded thoracic aortic rupture, however, this may lead to fatal haemorrhagic shock. In this case, we discuss the resuscitation and management of a patient with a massive left sided haemothorax secondary to a grade four blunt traumatic aortic injury. A 26-year-old male was involved in a high-speed motor vehicle crash and was hypoxic and hypotensive at the scene. His oxygenation and haemodynamics improved with supplemental oxygen and fluid resuscitation. He had a left intercostal catheter inserted after an urgent thoracic endovascular aortic repair was performed to prevent disruption of the contained haemothorax in the presence of a grade four thoracic aortic injury. It is vital to recognise the potential disruption of a tamponaded blunt traumatic aortic injury during consideration of thoracostomy and chest drain decompression. |
| first_indexed | 2024-04-11T17:35:08Z |
| format | Article |
| id | doaj.art-f572bcb8b7b94ff185b890ce3e8dda81 |
| institution | Directory Open Access Journal |
| issn | 2352-6440 |
| language | English |
| last_indexed | 2024-04-11T17:35:08Z |
| publishDate | 2020-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj.art-f572bcb8b7b94ff185b890ce3e8dda812022-12-22T04:11:44ZengElsevierTrauma Case Reports2352-64402020-10-0129100333Grade four blunt traumatic aortic injury with massive haemothorax: Resuscitation considerations during the primary surveyJuliana Ying Liang Mai0Andrew Holmes1Gert Frahm-Jensen2Trauma Service and General Surgery, The Canberra Hospital, Garran ACT, Australia; Corresponding author at: Trauma Service and Department of General Surgery, The Canberra Hospital, Yamba Drive, Garran ACT 2605, Australia.Vascular Surgery, The Canberra Hospital, Garran ACT, AustraliaVascular Surgery, The Canberra Hospital, Garran ACT, AustraliaAdvanced Trauma Life Support principles prioritise the management of ‘breathing’ over ‘circulation’ in an acute trauma primary survey. In a tamponaded thoracic aortic rupture, however, this may lead to fatal haemorrhagic shock. In this case, we discuss the resuscitation and management of a patient with a massive left sided haemothorax secondary to a grade four blunt traumatic aortic injury. A 26-year-old male was involved in a high-speed motor vehicle crash and was hypoxic and hypotensive at the scene. His oxygenation and haemodynamics improved with supplemental oxygen and fluid resuscitation. He had a left intercostal catheter inserted after an urgent thoracic endovascular aortic repair was performed to prevent disruption of the contained haemothorax in the presence of a grade four thoracic aortic injury. It is vital to recognise the potential disruption of a tamponaded blunt traumatic aortic injury during consideration of thoracostomy and chest drain decompression.http://www.sciencedirect.com/science/article/pii/S2352644020300571Blunt traumatic aortic injuryHaemothoraxTrauma resuscitationPrimary survey |
| spellingShingle | Juliana Ying Liang Mai Andrew Holmes Gert Frahm-Jensen Grade four blunt traumatic aortic injury with massive haemothorax: Resuscitation considerations during the primary survey Trauma Case Reports Blunt traumatic aortic injury Haemothorax Trauma resuscitation Primary survey |
| title | Grade four blunt traumatic aortic injury with massive haemothorax: Resuscitation considerations during the primary survey |
| title_full | Grade four blunt traumatic aortic injury with massive haemothorax: Resuscitation considerations during the primary survey |
| title_fullStr | Grade four blunt traumatic aortic injury with massive haemothorax: Resuscitation considerations during the primary survey |
| title_full_unstemmed | Grade four blunt traumatic aortic injury with massive haemothorax: Resuscitation considerations during the primary survey |
| title_short | Grade four blunt traumatic aortic injury with massive haemothorax: Resuscitation considerations during the primary survey |
| title_sort | grade four blunt traumatic aortic injury with massive haemothorax resuscitation considerations during the primary survey |
| topic | Blunt traumatic aortic injury Haemothorax Trauma resuscitation Primary survey |
| url | http://www.sciencedirect.com/science/article/pii/S2352644020300571 |
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