Blunt Thoracic Aortic Injury
รหัสดีโอไอ
Creator Supawon Srettabunjong
Title Blunt Thoracic Aortic Injury
Publisher Text and Journal Publication
Publication Year 2558
Journal Title Vajira Medical Journal
Journal Vol. 58
Journal No. 4
Page no. 17-28
Keyword blunt thoracic aortic injury, forensic pathology, sudden death, trauma center
ISSN 0125-1252
Abstract Blunt thoracic aortic injury (BTAI) still poses a challenge for physicians due to its high risk of fatality, difficulty in diagnosis, and involvement of other serious injuries. Recently, major advancement in the diagnostic and treatment modalities for such an injury has occurred, which have dramatically changed the way the injuries are managed. However, a large number of the patients with BTAI will likely not benefit from these advances because a significant amount of these patients with BTAI do not reach the hospital alive, most dying at a trauma scene, during a transfer to the hospital, or at the emergency department of a hospital. Significantly, the survival rate of the patients who are treated at hospitals with trauma centers is higher than that at hospitals without trauma centers. However, pre-hospital medical intervention may not play a significant role in changing these injuries, except for effective road safety measures for motor vehicle collision and car safety designs, particularly the side impact safety, for prevention BTAI from occurring.
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