Necessity of Emergency Chest X-ray in a Patient with Multiple Trauma with Injury Severity Score >15
Journal Title: Eurasian Journal of Emergency Medicine - Year 2020, Vol 19, Issue 1
Abstract
Aim: It was aimed to evaluate necessity of performing chest X-ray (CXR) in patients with multiple traumas and injury severity score (ISS) >15 in this study. Materials and Methods: In this cross-sectional study conducted on trauma patients, the clinical and radiographic findings of all the patients were collected and the relationships between these variables were analyzed based on advanced trauma life support guidelines. Results: A total of 170 patients was included in the study. Of them, 114 (67.1%) were male. The mean age of males was 33.86±17.36 years and it was 37.75±18.33 years in females (p=0.181). Twenty six patients had symptoms; seven patients had dyspnea and 19 had chest pain. Clinical examination was abnormal in 28 patients. Emphysema was detected in one patient, ecchymosis in one patient and local tenderness in 26 patients. CXR was performed in all patients and it was normal in 161 patients (94.7%). It detected rib fracture in six patients (3.5%), pulmonary contusion in two patients (1.2%) and hemothorax in one patient (0.6%). Conclusion: Investigation of the necessity of emergency CXR in patients with multiple trauma with ISS >15 showed that there was no need to perform CXR in stable patients lacking signs and symptoms and instead we suggest physical exam to detect any problem.
Authors and Affiliations
Alireza Ala, Samad Shams-Vahdati, Golnaz Majidi, Respina Jalilian
Keywords
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- EP ID EP684349
- DOI 10.4274/eajem.galenos.2017.08760
- Views 161
- Downloads 0
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