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- W3020922452 abstract "Abstract Introduction The advanced trauma life support (ATLS) training program was developed to provide uniformity in the assessment and management of trauma patients. Every trauma patient is evaluated using the primary survey; a rapid reproducible physical exam designed to diagnose those conditions that are immediately life-threatening first. The primary survey consists of the sequential assessment and treatment of airway, breathing, circulation, disability and exposure/environment, represented by the mnemonic (A.B.C.D.E) Objectives To review the different management strategies of penetrating abdominal and thoracic trauma. Data Sources Medline databases (PubMed, Medscape, ScienceDirect. EMF-Portal) and all materials available in the Internet till 2018. Conclusions In summation, most patients with PAT, especially gunshot wounds, still require surgery. On initial survey, patients who are hemodynamically unstable, have diffuse abdominal pain; evisceration, or peritoneal findings must go to the operating room. Patients with an altered sensorium, head injury, inability to cooperate with serial abdominal exams, or patients who will be undergoing an operative procedure somewhere other than the abdomen may be explored as well, depending on the comfort level of the trauma surgeon. This leaves a clinical subset that can be managed non operatively. In these patients, SNOM can drastically reduce the rates of negative and nontherapeutic laparotomies and result in a cost savings and safety benefit to the patient." @default.
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- W3020922452 date "2020-03-01" @default.
- W3020922452 modified "2023-10-17" @default.
- W3020922452 title "Review of Different Management Modalities of Penetrating Thoracic and Abdominal Trauma" @default.
- W3020922452 doi "https://doi.org/10.1093/qjmed/hcaa050.026" @default.
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