Motor Vehicle Accident

Abstract

My patient is a 53 year old Caucasian male who has long standing history of poly substance abuse. He is an active smoker and smokes about 3 packs a day. My patient has had multiple hospitalization admissions in the past due to complications from his persistent drug abuse and alcohol usage. He is not a generally healthy person as result persistent abuse of drugs use. He was involved in a motor vehicle accident and was presented to ER via ambulance. He is married over 20 years with no child. He is spends most of his time fishing and hanging out in local bars and He is reported to have possible mental issues per his chart and take psychotropic medications for its management. He, however, denies any form drug usage or drinking despites that fact drugs test has reviewed more than once he has been abusing drugs.

Introduction

Chest trauma

The rate of thoracic trauma in the United States is 12 per million populations per day - and 20-25% of deaths due to trauma are attributed to thoracic injury. It is estimated that thoracic trauma are responsible of approximately 16.000 deaths per year in the United States. The incidence of chest trauma has increased rapidly in this century of high-speed vehicular travel. Immediate deaths are usually due to major disruption of the heart or of great vessels. Early deaths due to thoracic trauma occurring within 30 minutes to 3 hours after the injury are secondary to cardiac temponade, airway obstruction and aspiration. Two thirds of these patients reach the hospital prior to die. Only 10-15% of blunt trauma patient require thoracic surgery, and 15-30% of the penetrating chest trauma require open thoracotomy. 85% of patients with thoracic trauma, can be managed by simple lifesaving maneuver that do not require surgical treatment. Thoracic injury occurs in the chest wall, lungs and pleura, thoracic great. vessels, diaphragm heart, trachea, bronchus and oesophagus. The magnitude of those problems and the significance of the associated injuries serve to underscore the importance of complete evaluation and timely intervention in the management of thoracic trauma.

Many patients can be successfully treated with or without tube thoracostomy, respiratory support and in a few cases with emergency thoracotomy. Endotracheal intubation support and treats post-traumatic respiratory insufficiency. Although some of the complex and potentially fatal traumatic thoracic injuriedue to: pneumothorax tension pneumothorax open pneumothorax flail chest pulmonary contusion aspiration. 2. Hemorrhagic shock due to: hemothorax hemomediastinum. Thoracic cavity is constituted from two structures: the first, rigid, comprehending the rib cage,