ABSTRACT

Thoracic trauma causes ventilatory or circulatory compromise and should be addressed in the resuscitation of all trauma victims after securing the airway and cervical spine. Initial measures include high flow oxygen, intubation and ventilation, and i.v. fluid therapy. Twenty five per cent of fatalities following major trauma are due to thoracic injuries, but only 10% of thoracic injuries present in time for, or require, surgical intervention. Continuous reassessment is mandatory.