Articles Tagged with Sacramento Chest Trauma Attorney

Management of Blunt Trauma Chest Injuries

Management of Blunt Trauma Chest Injuries

Management of Blunt Trauma Chest Injuries

I’m Ed Smith, a Sacramento Chest Trauma Lawyer. Patients who seem clinically stable and have no apparent injury but have suffered a high energy blunt trauma injury from rapid deceleration, such as in an automobile accident, are at risk of having severe injury to the chest.  A portable chest x-ray is part of the initial evaluation.  If this is normal and there are no other injuries, a regular chest x-ray including lateral x-ray should be performed.  A CT scan of the chest is done if there are any findings of suspicion on chest x-ray.

An EKG is performed on all patients who have sustained chest trauma to the front of the chest, patients who have a history of heart disease, and in the elderly.  Patients who have no findings on any of the above evaluations and are otherwise stable, may be sent home.  They should be told of the possibility of delayed issues and told to return to the emergency department immediately if they develop problems breathing, lightheadedness, or severe pain in the chest.

Cardiac Injuries

A cardiac contusion should be evaluated with an EKG in patients who have sustained a blunt trauma to the chest and have the following findings:

  • Fracture of the sternum
  • Pain or tenderness over the mid-chest area
  • A history of heart disease
  • Rollover, high speed collision, or a fatality in the accident
  • Signs of ongoing heart disease

If there are cardiac arhythmias, the patient should be watched via cardiac monitoring and may need an echocardiogram. Continue reading ›