Keywords
How to Cite
Abstract
An effective approach to patients with thoracic trauma is crucial to ensure adequate injury management and emergency treatment. Chest trauma can result in a variety of injuries, from rib fractures to lung lacerations and cardiac contusions, requiring rapid and accurate assessment to determine severity and initiate immediate therapeutic interventions. Objectives: Review the main injuries associated with thoracic trauma and the corresponding emergency treatments, aiming to improve understanding and clinical practice in the management of these patients. Methodology: To obtain data, resources from the following repositories were used: Scientific Electronic Library Online (SCIELO), PubMed and Literatura Latino-Americana do Caribe em Ciências da Saúde (LILACS). A variety of sources, including scientific articles, monographs and journals, were examined to extract pertinent information on the subject. Results and Discussions: The importance of rapid and accurate assessment of patients with chest trauma is highlighted to identify potentially serious injuries, such as pneumothorax, hemothorax, cardiac injuries and pulmonary contusions. The discussion emphasizes the need for immediate emergency interventions, such as chest drainage, fluid resuscitation and ventilatory support, to improve clinical outcomes and reduce morbidity and mortality associated with thoracic trauma. Additionally, additional considerations are addressed, such as prevention of complications, pain management, and appropriate transfer to specialized centers when necessary. Conclusion: In conclusion, a systematic and agile approach to patients with thoracic trauma is essential to identify and treat potentially serious injuries effectively. Early intervention, including recognition and correction of physiological changes, along with appropriate support, can significantly improve clinical outcomes. However, more research and studies are needed to further refine management protocols and improve outcomes for patients with thoracic trauma.
References
ALBUQUERQUE NETO, Antonio Tiago Guerra et al. Estudo dos protocolos de traumatologia de lesão por projétil de arma de fogo: revisão de literatura. Revista da Sociedade Brasileira de Clínica Médica, v. 19, n. 1, p. 62-66, 2021.
ARAÚJO, Daniel Camargo de Jesus; et al. Drenagem torácica em condições traumáticas e não traumáticas e suas complicações. Cadernos UniFOA, v. 12, n.2 p.15, 2021.
BOLDRINI, André Dos Santos et al. ABORDAGEM E MANEJO AO PACIENTE VÍTIMA DE TRAUMA TORÁCICO: REVISÃO INTEGRATIVA. Ciências da Saúde, [S. l.], v. 28, n. 133, p. 1-10, 27 abr. 2024.
DURÁN Muñoz-Cruzado; et al. Thoracoscopy as an alternative to sternotomy in impalement injury of the thoracic outlet of a hemodynamically stable patient. Periódico de Cirugia espanola, v.97, n.7, p. 414-416, 2019.
FARENZENA, N. et al.Hemotórax Traumático: Abordagem de videotoracoscopia precoce frente à drenagem torácica isolada. Brazilian Journal of Development. v.8, n.10, p.69605-69622, 2022.
FRANCO, Tainah Mota et al. Abordagem minimamente invasiva em trauma torácico penetrante: uma revisão da literatura. Brazilian Journal of Health Review, [S. l.], v. 6, n. 5, p. 23768-23778, 3 out. 2023.
GONÇALVES, Hélder Santos et al. Avaliação clínico-epidemiológica dos pacientes vítimas de trauma torácico em um hospital de referência de Aracaju-SE. Rev Col Bras Cir , [S. l.], v. 50, n. 2, p. 1-9, 25 jun. 2023.
KÜÇÜK MP, Küçük AO, Aksoy I, Aydin D, Ülger F et al. Prognostic evaluation of cases with thoracic trauma admitted to the intensive care unit: 10-year clinical outcomes. Ulus Travma Acil Cerrahi Derg; v.25, n.1, p. 46-54, 2019.
LIMA, Evilly Rolim de et al. INDICADORES DE TRAUMAS TORÁCICOS ATENDIDOS PELO SERVIÇO DE ATENDIMENTO MÓVEL DE URGÊNCIA. Revista Interdisciplinar em Saúde,, [S. l.], v. 9, n. 2, p. 1110-1120, 25 jun. 2022.
MOHAMED S, et al. Delayed cardiac tamponade following blunt chest trauma due to disruption of fourth costal cartilage with posterior dislocation [published correction appears in Trauma Case Rep. Trauma Case Rep; v.29, n, 12, p., 2020.
MUÑOZ-CRUZADO, V. M. D. et al. Toracoscopia como Alternativa a Esternotomía em Herida por Empalamiento en Opérculo Torácico enPaciente Hemodinámicamente Estable. Cir. Esp. v. 97, n. 7. P. 414-416, 2019.
NAVAS, CJA et al. Intercostal pseudohernia following blunt chest trauma. Pseudohernia intercostal tras un traumatismo torácico cerrado. Emergencias, v. 32, n. 73, p. 4,2020.
NUNES et al. ABORDAGENS FISIOTERAPÊUTICAS NO TRATAMENTO DE CRIANÇAS COM MIELOMENINGOCELE: ABORDAGENS FISIOTERAPÊUTICAS NO TRATAMENTO DE CRIANÇAS COM MIELOMENINGOCELE. Revista Multidisciplinar do Nordeste Mineiro, [S. l.], v. 8, n. 1, 2023.
REIS, J. M. C. DOS . et al.. Lesões traumáticas de aorta em zona rural: série de casos com manifestações tardias e revisão dos aspectos terapêuticos. Jornal Vascular Brasileiro, v. 22, p.1-8 , 2023.
SANTOS, J. J. de S. dos, et al. Epidemiologia das vítimas de trauma atendidas por serviço pré-hospitalar. Rev. Pesqui., v.25, n.2, p. 295-301, 2021.
SCHREIBER L.; DABEK J. Effects of Whole-Body Vibration Training on Lower Limb Blood Flow in Children with Myelomeningocele—A Randomized Trial. Journal of Clinical Medicine, v.10 p. 4273, 2021.
SPOERER, Sebastián; et al. Elaboración de un simulador de trauma torácico a partir de un torso cadavérico utilizando tecnología de imágenes digitales e impresión 3D. Revista de Cirugía v.73, n.3, p.1-7 2021.
VEINTIMILLA, J. M. L. et al. Reporte de caso: Trauma Penetrante de Tórax Resuelto por UNIPORTALVALSTS. Revista Ocronos. v. 3, p. 30-3, 2022.
WINKLE, J. M.; LEGOME, E. Initial Evaluation and Management of Penetrating Thoracic Trauma in Adults. Uptodate.v.2 , n.3 p. 1-10, 2022.
ZANETTE, Guilherme Zappelini Zanette et al. Perfil epidemiológico do trauma torácico em um hospital referência da Foz do Rio Itajaí. Rev Col Bras Cir, [S. l.], v. 46, n. 2, p. 1-8, 25 jun. 2019.
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2024 Amanda Silva de Oliveira, Fabricio Ricardo Valerio , Antônio Carlos da Silva Araújo Neto , Aguinaldo Pereira Dias , Letícia Beatriz Rodrigues Ferreira, Annielly Rodrigues Guidas , Adria Melissa Silva Campos, Alaíne Sttefany Martins do Carmo, Lauren Lee Schuster Biallowons, Nikolas Sivini Borges Galvão, Salete Martens Aurélio, Aline Passos da Silva