Chapter 35. Chest Trauma

  1. Brian H. Rowe MD, MSc, CCFP(EM), FCCP Professor Research Director
  1. Shahriar Zehtabchi MD Associate Professor and
  2. Richard Sinert DO Associate Professor Research Director

Published Online: 27 FEB 2009

DOI: 10.1002/9781444303674.ch35

Evidence-Based Emergency Medicine

Evidence-Based Emergency Medicine

How to Cite

Zehtabchi, S. and Sinert, R. (2008) Chest Trauma, in Evidence-Based Emergency Medicine (ed B. H. Rowe), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444303674.ch35

Editor Information

  1. Department of Emergency Medicine, University of Alberta, Edmonton, Alberta, Canada

Author Information

  1. Department of Emergency Medicine, Downstate Medical Center, State University of New York, Brooklyn, New York, USA

Publication History

  1. Published Online: 27 FEB 2009
  2. Published Print: 31 OCT 2008

ISBN Information

Print ISBN: 9781405161435

Online ISBN: 9781444303674



  • chest trauma;
  • Glasgow Coma Score (GCS);
  • cardiac contusion - topic of controversy in trauma literature;
  • contused myocardial tissue and transthoracic echocardiography (TTE);
  • Transesophageal echocardiography (TEE);
  • combination testing - combination of ECG and serum troponin level for ruling out cardiac injury;
  • traumatic thoracic aortic rupture (TAR);
  • pulmonary contusion - cause of lung opacification in blunt chest trauma;
  • traumatic diaphragm rupture (TDR);
  • hemopericardium and tamponade concern for emergency physicians in penetrating chest trauma


This chapter contains sections titled:

  • Case scenario

  • Background

  • Clinical questions

  • General search strategy

  • Critical review of the literature

  • Conclusions

  • References