Mon25October0844PM 6

In chest trauma, urgent cardiothoracic surgical referral is necessary for which of the following?

True / False

Cardiac tamponade Correct

Continuing haemorrhage following insertion of chest drain Correct

Disruption of the great vessels Correct

Severe pulmonary contusion Incorrect answer selected

Continuing massive air leak following insertion of chest drain Correct

Explanation

The major reasons for referral are:

continuing massive air leak or haemorrhage following insertion of chest drain

cardiac tamponade, and

disruption of the great vessels (this injury is usually rapidly fatal, unless the tear in the vessel has tamponaded itself).

Pulmonary contusion requires the administration of high flow oxygen and if severe, artificial ventilation, on the paediatric intensive care unit.

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Average score: 88.92%

Times answered: 287