Revista Cubana de Medicina Militar
versión On-line ISSN 1561-3046
LOMBARDO VAILLANT, Tomás Ariel. Management of the six great of the thorax trauma: First part. Rev Cub Med Mil [online]. 2008, vol.37, n.1, pp. 0-0. ISSN 1561-3046.
Thoracic traumatisms are an important cause of mortality and morbidity. They are directly responsible for 20 to 25 % of the deaths caused by traumatisms and contribute to the death of other 25 %. The thoracic lethal lesions that may cause the death of an important number of patients in the scenario are included within this figure. That's why, to determine the diagnosis and the therapeutical options it is a significant element to reduce their sequelae, and it was precisely 3 the objective of this paper. From October 2005 to June 2006, a review was made with a search strategy directed to identify the papers of interest that allowed to carry out an adequate validation. By the information localizer in the health portal of Infomed, LILACS, EBSCO, Cochrane Library and Medline databases were accessed. The latter was accessed by using the EndNote 7 database manager. The Internet information was localized by means of Google search engine with its option of advanced search. To classify the important papers the system of the Agency for Healthcare Research and Quality was used. The evidence levels showed by the papers found allowed to make diagnostic and therapeutic recommendations of the lethal lesions of the thorax after traumatism.
Palabras llave : Evidence-based medicine; thoracic traumatism; diagnosis; treatment; open pneumothorax; hypertensive pneumothorax; massive hemothorax; surgery to control damage; emergency thoracotomy; thoracostomy.