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Review
. 2014 Apr;57(2):E36-43.
doi: 10.1503/cjs.026012.

Current management of penetrating torso trauma: nontherapeutic is not good enough anymore

Chad G Ball  1
Affiliations
Review

Current management of penetrating torso trauma: nontherapeutic is not good enough anymore

Chad G Ball. Can J Surg. 2014 Apr.

Abstract
in English, French

A highly organized approach to the evaluation and treatment of penetrating torso injuries based on regional anatomy provides rapid diagnostic and therapeutic consistency. It also minimizes delays in diagnosis, missed injuries and nontherapeutic laparotomies. This review discusses an optimal sequence of structured rapid assessments that allow the clinician to rapidly proceed to gold standard therapies with a minimal risk of associated morbidity.

En présence de traumatismes thoraciques pénétrants, une approche diagnostique et thérapeutique hautement organisée permet de standardiser et daccélérer l’évaluation et le traitement. Ce type d’approche s’accompagne aussi d’une réduction des retards de diagnostic, des lésions susceptibles de passer inaperçues et des laparotomies non thérapeutiques. La présente synthèse propose une séquence optimale d’évaluations structurées rapides qui peuvent aider le clinicien à traiter le patient selon les règles de l’art, avec un risque minimum de morbidités associées.

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