An unstable patient with a large sucking chest wound managed with gauze packing for preventing tension and bleeding control before surgery in Korea: a case report
This case report describes the management of a 51-year-old female patient who arrived at the emergency room with a stab wound to the upper right chest. Immediate medical interventions were undertaken, including blood transfusions and endotracheal intubation. To prevent tension and control bleeding,...
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| Format: | Article |
| Language: | English |
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Korean Society of Traumatology
2024-06-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://jtraumainj.org/upload/pdf/jti-2023-0066.pdf |
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| _version_ | 1841527025363320832 |
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| author | Chang-Sin Lee Min-Jeong Cho Tae-Wook Noh Nak-Jun Choi Jun-Min Cho |
| author_facet | Chang-Sin Lee Min-Jeong Cho Tae-Wook Noh Nak-Jun Choi Jun-Min Cho |
| author_sort | Chang-Sin Lee |
| collection | DOAJ |
| description | This case report describes the management of a 51-year-old female patient who arrived at the emergency room with a stab wound to the upper right chest. Immediate medical interventions were undertaken, including blood transfusions and endotracheal intubation. To prevent tension and control bleeding, gauze packing was applied directly through the large open wound. Further surgical exploration identified a laceration in the lung, necessitating a right upper lobe resection. Postoperatively, the patient's vital signs stabilized, and she was subsequently discharged without complications. This case highlights the decision-making process in selecting between an emergency department thoracotomy and an operating room thoracotomy for patients with penetrating chest trauma. It also illustrates the role of gauze packing in managing tension and hemorrhage. In summary, gauze packing can be an effective interim measure for stabilizing patients with traumatic injuries, unstable vital signs, and large open chest wounds, particularly when a chest tube is already in place, to prevent tension and facilitate bleeding control prior to surgical intervention. |
| format | Article |
| id | doaj-art-66715b17a3ab4b3b877391c7e6391994 |
| institution | Kabale University |
| issn | 2799-4317 2287-1683 |
| language | English |
| publishDate | 2024-06-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-66715b17a3ab4b3b877391c7e63919942025-01-16T06:10:17ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832024-06-0137214715010.20408/jti.2023.00661299An unstable patient with a large sucking chest wound managed with gauze packing for preventing tension and bleeding control before surgery in Korea: a case reportChang-Sin Lee0Min-Jeong Cho1Tae-Wook Noh2Nak-Jun Choi3Jun-Min Cho4 Department of Acute Care Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea Department of Acute Care Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea Department of Acute Care Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea Department of Acute Care Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea Department of Acute Care Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, KoreaThis case report describes the management of a 51-year-old female patient who arrived at the emergency room with a stab wound to the upper right chest. Immediate medical interventions were undertaken, including blood transfusions and endotracheal intubation. To prevent tension and control bleeding, gauze packing was applied directly through the large open wound. Further surgical exploration identified a laceration in the lung, necessitating a right upper lobe resection. Postoperatively, the patient's vital signs stabilized, and she was subsequently discharged without complications. This case highlights the decision-making process in selecting between an emergency department thoracotomy and an operating room thoracotomy for patients with penetrating chest trauma. It also illustrates the role of gauze packing in managing tension and hemorrhage. In summary, gauze packing can be an effective interim measure for stabilizing patients with traumatic injuries, unstable vital signs, and large open chest wounds, particularly when a chest tube is already in place, to prevent tension and facilitate bleeding control prior to surgical intervention.http://jtraumainj.org/upload/pdf/jti-2023-0066.pdfwounds and injuriesthoracic injuriespenetrating woundscase reports |
| spellingShingle | Chang-Sin Lee Min-Jeong Cho Tae-Wook Noh Nak-Jun Choi Jun-Min Cho An unstable patient with a large sucking chest wound managed with gauze packing for preventing tension and bleeding control before surgery in Korea: a case report Journal of Trauma and Injury wounds and injuries thoracic injuries penetrating wounds case reports |
| title | An unstable patient with a large sucking chest wound managed with gauze packing for preventing tension and bleeding control before surgery in Korea: a case report |
| title_full | An unstable patient with a large sucking chest wound managed with gauze packing for preventing tension and bleeding control before surgery in Korea: a case report |
| title_fullStr | An unstable patient with a large sucking chest wound managed with gauze packing for preventing tension and bleeding control before surgery in Korea: a case report |
| title_full_unstemmed | An unstable patient with a large sucking chest wound managed with gauze packing for preventing tension and bleeding control before surgery in Korea: a case report |
| title_short | An unstable patient with a large sucking chest wound managed with gauze packing for preventing tension and bleeding control before surgery in Korea: a case report |
| title_sort | unstable patient with a large sucking chest wound managed with gauze packing for preventing tension and bleeding control before surgery in korea a case report |
| topic | wounds and injuries thoracic injuries penetrating wounds case reports |
| url | http://jtraumainj.org/upload/pdf/jti-2023-0066.pdf |
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