emDocs - May 22, 2020 - Originally posted on Trauma ICU Rounds on April 17, 2020.
Listen to the accompanying podcast by downloading it HERE
"In this episode we review the “lethal 6” and “hidden 6” chest injuries that comprise the deadly dozen of thoracic trauma. Mechanism of injury together with vital signs and findings from the physical exam should provide us with the data needed to identify life-threatening thoracic injuries on our primary survey. For hidden injuries, the diagnostic adjuncts required to identify these injuries are also discussed...
Take Home Points
- Mechanism of injury together with vitals and a focused physical exam should alert you to the presence of a life-threatening thoracic injury
- The vast majority of chest injuries can be initially and definitely managed with a well-placed chest tube
- Hidden injuries require more than a thoughtful physical exam. Common adjuncts or modalities to identify these injuries include CXR, CT scan, EKG, and labs including CK/Tn"