Library
Trauma
·
medium
Blunt Chest Trauma
Flowchart
Play
Unstable → resuscitate + eFAST + CT. Stable + high-risk → CT.
Decision
Outcome
Decision
Blunt chest trauma. First triage?
✓
Assess hemodynamic stability
✗
Routine trauma series CT for all
Decision
Hemodynamics?
✓
Unstable → resuscitation, eFAST, CT (when feasible), ECG, stabilizing intervention (chest tube if needed)
✓
Stable → CXR, ECG, exam; CT if high-risk mechanism or abnormal findings
Decision
After resuscitation — stability achieved?
✓
Yes → additional tests (CT chest)
✓
No → OR thoracotomy
Outcome
Treat findings; repeat exams, serial troponins if cardiac contusion suspected
Outcome
OR thoracotomy if massive hemothorax (>1500 mL initial output) or refractory shock
Decision
Findings after evaluation?
✓
Abnormal CXR/ECG/exam → CT chest
✓
All normal, low-risk mechanism → discharge or observe
Outcome
Possible discharge or short observation
Drag to pan · scroll to navigate