Experiences with chest trauma: where do we stand today

Background and Aims: Chest trauma is a major public health problem in India, but only few studies have been conducted to analyze its magnitude and management. The present study was carried out to determine the epidemiological profile of chest trauma cases and to analyze the management strategies with an aim to identify the scope of improvement in our set-up. Materials and Methods: It is a retrospective study of cases admitted with chest trauma, to a tertiary care hospital. Records of the patients admitted to the hospital with chest trauma over a period of one year were analyzed for the patients′ demographic profile; mechanism, nature and severity of injuries; associated injuries; management and outcome of cases. Results: Out of a total of 105 patients, most were males, belonged to age group of 21-40 years and suffered blunt trauma. Motor vehicle accident was the commonest mechanism of injury. The interval from injury to admission ranged from one hour, to more than 24 hours. Eight patients were admitted to the ICU, out of which 5 required ventilatory support. The most frequently used analgesics in the wards were non-steroidal anti-inflammatory drugs (NSAID). Ninety one patients improved, while seven patients died in the hospital. Conclusions: Chest trauma due to blunt injury is an important cause of morbidity and mortality in young males. Despite limitations of resources and manpower, attempts are being made to manage patients successfully. However, creation of dedicated trauma teams with well-designed management protocols in hospitals can further improve the outcome