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Learning Goals:

  • Apply a structured CABCDE approach to patients with thoracic trauma 
  • Recognise immediately life threatening thoracic injuries during the primary survey 
  • Initiate emergency management in thoracic trauma (e.g. oxygen therapy, chest decompression)
  • Interpret investigations (CXR, eFAST) in the context of the clinical presentation 
  • Provide effective analgesia for chest wall injuries 
  • Safely determine disposition (discharge vs. admission vs. ICU) for patients with thoracic trauma
  • Recognise common pitfalls and missed injuries in thoracic trauma 

Course Content

Introduction
1 Quiz
Pre-Assessment Quiz
Clinical Case
2 Topics
Zero Point Survey
Trauma Team Activation
Primary Survey (cABCDE) with Thoracic Trauma Emphasis
1 Quiz
Clinical Questions
Immediately Life-Threatening Injuries
5 Topics
Airway Obstruction
Tension Pneumothorax
Open Pneumothorax
Massive Haemothorax
Cardiac Tamponade
Potentially Life-Threatening Injuries
6 Topics
Rib Fractures and Flail Chest
Pulmonary Contusions
Tracheobronchial Tree Injury
Blunt Cardiac Injury
Diaphragmatic Injury
Sternal Injury
Procedures
2 Topics
1 Quiz
Finger Thoracostomy and Chest Drain Insertion
Chest Drain
Thoracotomy
Imaging in Thoracic Trauma
3 Topics
NEXUS Chest Decision Instrument for Blunt Chest Trauma
NEXUS Chest CT Decision Instrument for CT Imaging
Comparison of Imaging Modalities
Analgesia
Respiratory Support
Indications for Cardiothoracic Surgery Review
Disposition
Initial EM Management Bundle
Common Pitfalls
Special Populations: Older Adults
Final Quiz
MCQ: Thoracic Injuries