THORACIC TRAUMA

I T L S 2 0 0 8 v s AT L S 2 0 1 8
1. LIST PROBLEM
 ITLS 2008
Airway Obstruction
Open Pneumothorax
Flail Chest
Tension Pneumothorax
Massive Hemothorax
Cardiac Tamponade
Myocardial Contusion
Traumatic Aortic Rupture
Tracheal or Bronchial Tree Injury
Diaphragmatic tear
Esophageal Injury
Pulmonary Contusion
ATLS 2018
Airway Obstruction
Tracheobroncial Tree Injury
Tension Pneumothorax
Open Pneumothorax
Massive Hemothorax
Cardiac Tamponade
Traumatic Circulatory Arrest
Simple Pneumothorax
Hemothorax
Flail Chest
Pulmonary Contusion
Blunt Cardiac Injury
Traumatic Aortic Disruption
Traumatic Diaphragmatic Injury
Blunt Esophageal Rupture
 2.
C L A S S I F I C AT I O N
 Point ITLS 2008
Airway Obstruction
Open Pneumothorax
Flail Chest
Primary Survey
Tension Pneumothorax
(Life Threatening Injuries)
Massive Hemothorax
Cardiac Tamponade
 
Myocardial contusion
Traumatic aortic rupture
Tracheal or bronchial tree injury
Secondary Survey Diaphragmatic tears
(Potentially Life Threatening Injuries) Esophageal injury
Pulmonary contusion
 
 
ATLS 2018
Airway Obstruction
Tracheobronchial Tree Injury
Tension Pneumothorax
Open Pneumothorax
Massive Hemothorax
Cardiac Tamponade
Traumatic Cirulatory Arrest
Simple pneumothorax
Hemothorax
Flail chest
Pulmonary contusion
Blunt Cardiac Injury
Traumatic Aortic Disruption
Traumatic diaphragmatic injury
Blunt esophageal rupture
 ATLS
2018 Airway Obstruction
Airway Problem Tracheobronchial Tree
Injury
Tension Pneumothorax

Breathing Problem Open Pneumothorax

PRIMARY SURVEY
Massive Hemothorax
Massive Hemothorax
Cardiac Tamponade
Circulation Problem
Traumatic Cirulatory
Arrest
2. DIFFERENCE
 TENSION PNEUMOTHORAX

ITLS 2008 ATLS 2018

Penanganan awal menggunakan needle Needle decompression diyakini memiliki

decompression untuk life saving kemungkinan tidak berhasil yang lebih
besar sehingga pendekatan alternative
dengan finger thoracostomy
 CARDIAC TAMPONADE

ITLS 2008 ATLS 2018

Beck’s trias (hipotensi, distended neck Dikatakan bahwa trias tersebut tidak
vein, dan muffled heart sound) digunakan selalu ada. Diagnosis menggunakan FAST
untuk diagnosis (focus assessment with sonography for
trauma)

Pericardiocentesis bisa dilakukan untuk

life saving
 TRACHEOBRONCHIAL TREE INJURY

ITLS 2008 ATLS 2018

Bukan dijadikan sebagai life threatening Dijadikan life threatening injury karena
injury sebagian besar pasien akan meninggal di
tempat kejadian
 FLAIL CHEST AND PULMONARY
ITLS 2008
CONTUSION ATLS 2018

Flail chest merupakan life threatening Flail chest bukan lagi life threatening
problem tetapi potentially life threatening
THANK YOU