Respuesta :
Stabilized vitals and complaints of pain; stable vitals is the major indicator that a transfer will not jeopardize the patient's condition.
The causes of isolated mediastinal injuries are unknown, but accidents are the most frequent reason for blunt thoracic trauma in the US. High speeds, not using a seatbelt, significant vehicle damage, and the presence of steering wheel deformities are all risk factors for mediastinal trauma in car accidents.
The impalement of objects as a result of industrial accidents, falls, collisions, blast injuries, and military equipment are some other but less frequent causes of penetrating thoracic injury. After a suitable evaluation, patients who are clinically stable and show no signs of harm may be released.
Patients should be admitted to the hospital with continuous hemodynamic monitoring for at least 24 hours if they exhibit any signs or symptoms of blunt cardiac injury. To rule out cardiac tamponade and severe hemorrhage, patients who are unstable in the trauma bay and who do not improve with resuscitation or bedside interventions such placing a chest tube should be transported quickly to surgery.
Furthermore, a substantial air leak following the insertion of a chest tube may require rapid surgical investigation to rule out tracheobronchial rupture. Only 15% of individuals with penetrating thoracic trauma will need surgery. The following is a general overview of various mediastinal injuries and how they should be treated.
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