Integrated Clinical Pathways for Chest Injury involving EMS, Nursing Practice, Radiologic Assessment, Laboratory and Microbiological Testing, Dental Support Roles, and Nutrition Management
Rattachement africain : Nigéria, sa. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Background: Chest trauma is a frequent and high-risk presentation in emergency medical services (EMS), accounting for nearly a quarter of all trauma-related deaths. These injuries, resulting from blunt or penetrating mechanisms, can rapidly compromise ventilation, oxygenation, and circulation, making timely assessment and management critical for patient survival. Aim: This article aims to outline the principles of prehospital evaluation and management for chest trauma, emphasizing the role of EMS in rapid recognition, stabilization, and expedited transport to definitive care. It seeks to synthesize the pathophysiology, clinical assessment, and specific interventions for life-threatening thoracic conditions within the constraints of the field environment. Methods: The approach is based on a structured primary survey (Airway, Breathing, Circulation) aligned with Advanced Trauma Life Support (ATLS) principles. Methods include rapid clinical assessment, essential life-support interventions (e.g., oxygen administration, hemorrhage control), and specific invasive procedures like needle decompression for tension pneumothorax and occlusive dressing for open chest wounds. Results: Effective prehospital care focuses on identifying critical conditions such as tension pneumothorax, flail chest, and massive hemothorax. Interventions are time-sensitive and aimed at bridging the patient to hospital-based definitive care. The "load and go" strategy, minimizing on-scene time, is consistently associated with improved outcomes. Conclusion: The prognosis for chest trauma patients is significantly improved by efficient EMS systems that prioritize rapid assessment, immediate life-saving interventions, and coordinated transport to appropriate trauma centers.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Integrated Clinical Pathways for Chest Injury involving EMS, Nursing Practice, Radiologic Assessment, Laboratory and Microbiological Testing, Dental Support Roles, and Nutrition Management
- Date Crossref
- 01/12/2025
- Éditeur
- Maktab Mutlaq Al-Injaz for Academic Services
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Crescent University Nigéria (code pays fourni par la source)Université ou école supérieure
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King Saud bin Abdulaziz University for Health Sciences pays non établi dans la noticeUniversité ou école supérieure
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Prince Mohammed bin Abdulaziz Hospital pays non établi dans la noticeÉtablissement de santé
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King Abdulaziz Hospital pays non établi dans la noticeÉtablissement de santé
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Imam Abdulrahman Al Faisal Hospital pays non établi dans la noticeÉtablissement de santé
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Ministry of Health Al Husseini Primary Care Center pays non établi dans la noticeOrganisme public
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Saudi Red Crescent Authority Arar pays non établi dans la noticeOrganisme public
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King Abdullah Bin Abdulaziz University Hospital KAAUH PNU Ministry Of Education Riyadh pays non établi dans la noticeUniversité ou école supérieure
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Ministry Of Interior Prison Health Jazan Region pays non établi dans la noticeOrganisme public
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Al Omran General Hospital pays non établi dans la noticeÉtablissement de santé
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Nafi General Hospital pays non établi dans la noticeÉtablissement de santé
Crescent University (Nigéria), King Saud bin Abdulaziz University for Health Sciences et Prince Mohammed bin Abdulaziz Hospital, avec 8 autres affiliations. Pays d’affiliation : Nigéria.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.