Assessment and Management of Blunt Chest Trauma among Patients Admitted to Al-Thowrah Hospital, Sana'a-Yemen


Ali Lotf Al-Amry1* , Yasser Abdrabu1, Valenzuela R2, Ali Shawish2, Samira Qubati2, Bader Al-Tawhari2

1Department of General Surgery, Faculty of Medicine&healths sciences Sana'a university.

2Althawra General Modern Hospital –Sana'a-Yemen

SUJMS • 2021 | Jane | Vol 15| Issue. (1)


rauma causes more than 100,000 deaths annually in the United States [1]. Estimates of thoracic trauma frequency indicate that injuries occur in 12 persons per million populations per day. Approximately 33% ofthem require hospital admission. Overall, blunt thoracic injuries are responsible for 20-25% of all deaths, and chest trauma is a major contributor in another 50% of deaths. The most important cause of significant blunt chest trauma is motor vehicle accidents (MVAs). MVAs account for 70-80% of such injuries [1-3]. Sternal fractures are found in up to 8%

of blunt chest trauma patients and 18% of multiple trauma patients with thoracic injuries, and are usually the result of a direct, high-energy blow to the sternum from the steering wheel and column [4-7]. Direct lung injuries, such as pulmonary contusions, are frequently associated with major chest trauma and may impair ventilation. Pneumothoraces, hemothoraces and hemopneumothoraces, interfere with oxygenation and ventilation by compressing otherwise healthy lung parenchyma.Initial resuscitation and management of the trauma patient is based upon protocols from Advanced Trauma Life Support (ATLS). For patient

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