Background: Thoracic injury accounts for 25 per cent of all severe injuries. Most patients who sustain thoracic trauma can be treated by technical procedures within the capabilities of clinicians trained in ATLS. This study was done to find out the incidence, causes, pattern of thoracic trauma, its diagnosis and management. Methods: This prospective study was conducted over a period of one year on patients reporting to casualty department of IGMC, Shimla with thoracic trauma. In all patients clinical assessment was done while concomitant resuscitation was performed as per ATLS protocol. Results: A total of 54 patients were enrolled in the study. Most common cause of injury was fall from height followed by road traffic accidents. The most common presentation was chest pain in 46 (85.2%) patients and tenderness over chest wall present in 38 (70.3%) patients. Rib fractures were present in 48 (88.8%) patients being the most common injury. Patients with associated injuries most commonly had liver injuries (25.9%). 10 (18.5%) patients were managed conservatively, 43 (79.6%) patients were managed with intercostal drainage and 1 (1.8%) patient underwent thoracotomy. Conclusions: Thoracic trauma is a major cause of morbidity in middle aged male population. Most chest injuries are treatable with simple procedures that is tube thoracostomy and thoracotomy is rarely required. The appropriate management of these patients is rapid and accurate assessment, resuscitation, stabilisation according to priorities as per ATLS protocol followed by timely appropriate intervention and close observation/monitoring.
Kartik Rana, Dhruv Kumar Sharma, Vivek Rajdev, Arun Chauhan. Thoracic trauma- Clinical presentation and management- A one-year prospective study in a tertiary care centre in north India. International Journal of Surgery and Surgical Research, Volume 4, Issue 1, 2022, Pages 25-30