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<< Emergency Department Evaluation And Management Of Blunt Chest And Lung Trauma (Trauma CME)

Emergency Department Evaluation

History

The history obtained from the patient, witnesses, or prehospital providers helps determine which patients with blunt chest trauma are at low versus high risk of intrathoracic injury. Important components in the history include chest pain, dyspnea, the mechanism of injury (eg, fall, direction, and speed of impact), concomitant drug and/or alcohol use, allergies, medical and surgical histories, and use of anticoagulation or antiplatelet therapies. Mechanism alone is predictive and associated with thoracic injury in up to 20% of patients.54

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