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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

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lunes, 8 de junio de 2020

Stab Wounds

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emDocs - June 8, 2020 - By Kieffer C, Doucette R, Rubenstein S, Louthan F
Reviewed by Lew E, Koyfman A and Long B
"Pearls and Pitfalls
  1. Recognize that wounds within the thoracoabdominal cavity need to be evaluated for both chest and abdominal wounds due to diaphragm movement
  2. Patients who are stable with a negative FAST may be candidates for local wound exploration and discharged home if the abdominal fascia is not violated. Those with violation of the fascia will require CT imaging.
  3. Complete a secondary examination of every patient with a stab wound to evaluate for multiple penetrating sites.
  4. For needle thoracostomy, consider entry at the mid-axillary line at the 5th intercostal space as the chest wall is thinner."