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J Trauma Inj : Journal of Trauma and Injury

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Case Reports
Surgically Removed Intrapulmonary Shotgun Pellet without Traumatic Hemopneumothorax
Soo Young Yoon, Young Hoon Sul
J Trauma Inj. 2021;34(1):66-69.   Published online March 23, 2021
DOI: https://doi.org/10.20408/jti.2020.0026
  • 3,082 View
  • 92 Download
AbstractAbstract PDF

When treating firearms injuries, knowledge of the proper management is important because these injuries have high morbidity and mortality. However, due to strict gun safety regulations, surgeons in Asia often have limited experiences with gunshot wound management. Recently, the authors had the experience of removing a bullet that did not cause hemopneumothorax, but remained in the lung parenchyma. Due to the risk of complications that could occur if the bullet was not removed, surgical treatment was eventually performed to remove the bullet. A literature review was needed to determine whether this treatment was appropriate. We concluded that removing the bullet could prevent incidental complications. In this regard, the authors report a case along with a review of the relevant literature to suggest appropriate treatment directions for surgeons who do not have experience with gunshot wounds.

Summary
Positioning of Resuscitative Endovascular Balloon Occlusion of the Aorta Catheter: A Case of an Elderly Patient with Concomitant Chest and Pelvic Injury after Blunt Trauma
Dongsub Noh, Jeongseok Yun, Ye Rim Chang
J Trauma Inj. 2020;33(3):186-190.   Published online September 30, 2020
DOI: https://doi.org/10.20408/jti.2020.0030
  • 3,302 View
  • 69 Download
AbstractAbstract PDF

Resuscitative endovascular balloon occlusion of the aorta (REBOA) has been increasingly used in recent years as a resuscitative adjunct for trauma patients with life-threatening non-compressible torso hemorrhage. By blocking the aorta temporarily with an inflated balloon, REBOA preserves cerebral and coronary perfusion while diminishing exsanguination below the balloon, thereby providing time for resuscitation and definitive bleeding control. When determining the occlusion zone during the REBOA procedure, factors such tortuosity of the aorta, co-occurring minor chest injuries, and the severity of shock must be considered, as well as the main injury site. This paper describes a case of high Zone I REBOA in an elderly patient with a tortuous aorta who had concomitant injuries of the chest and pelvis.

Summary
Original Article
Clinical Investigation of Isolated Chest Injury
Keung Moo Lee, Dong Soo Kim, Lee Suk Woo, Hoon Kim
J Korean Soc Traumatol. 2006;19(1):35-40.
  • 1,017 View
  • 7 Download
AbstractAbstract PDF
PURPOSE
Injuries are the third leading cause of death in Korea. Isolated chest injury is not uncommon and shows high mortality and morbidity. Several scoring systems are used for triage and stratification for trauma patients, but no standard system is accepted. We aimed to analyze the accuracy of identification of isolated chest injury by using several scoring systems.
METHODS
We reviewed a total of 75 patients admitted with isolated chest injury between January 2005 and October 2005. Medical records were reviewed by using the Injury Severity Score (ISS), the Revised Trauma Score (RTS), and the Trauma and Injury Severity Score (TRISS). The scoring systems were compared by using statistics methods.
RESULTS
The overall predictive accuracy of the TRISS was 12.5%, 12.0% greater than those of the RTS and the ISS. By using the area under the receiver operating characteristic (AUROC) curve, the TRISS showed an excellent discriminative power (AUROC 0.931) compared to the ISS (AUROC 0.926) and the RTS (AUROC 0.872).
CONCLUSION
Compared with the RTS and the ISS, the TRISS is an easily applied tool with excellent prognostic abilities for isolated chest trauma patients. However, the TRISS, the ISS, and the RTS showed high specificity and low sensitivity, so another scoring system is required for triage and stratification of isolated chest injury patients.
Summary

J Trauma Inj : Journal of Trauma and Injury