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Blunt thoracic aortic injuries: initial evaluation and management Morgan PB; Buechter KJSouth Med J 2000[Feb]; 93 (2): 173-5In at least one large study, the average time from arrival at the emergency department to arrival in the operating room was nearly 6 hours. That 30% of survivors will die in the same amount of time underscores the need for rapid diagnosis and treatment. In blunt thoracic aortic injury, beta-blockers have been shown to reduce the incidence of rupture, and their use is rarely contraindicated. A working knowledge of the mechanisms of injury likely to produce this lesion, commonly associated injuries, clinically relevant and easily recognizable chest film findings, and appropriate use of beta-blockade can have a significant impact on mortality. Any physician responsible for evaluation of trauma patients should be familiar with this information.|Accidents, Traffic[MESH]|Adrenergic beta-Antagonists/*therapeutic use[MESH]|Adult[MESH]|Aortic Rupture/etiology/mortality/*prevention & control[MESH]|Emergencies[MESH]|Female[MESH]|Humans[MESH]|Propanolamines/*therapeutic use[MESH]|Radiography[MESH]|Thoracic Arteries/*injuries/surgery[MESH]|Treatment Outcome[MESH]|Wounds, Nonpenetrating/diagnostic imaging/*therapy[MESH] |
