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Related Experiment Videos

Stab to second intercostal space: a bubbling extrapleural wound.

A Jabbar1, J V Reynolds, P K Plunkett

  • 1St. James' Hospital, Dublin, Ireland. ajabbar@eircom.net

Emergency Medicine Journal : EMJ
|November 22, 2005
PubMed
Summary

A roadside collapse revealed a chest wound with air bubbling, indicating a potential pneumothorax. Prompt medical intervention and conservative management led to the patient's full recovery from esophageal damage.

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Area of Science:

  • Emergency Medicine
  • Trauma Surgery
  • Thoracic Surgery

Background:

  • A 37-year-old male presented to the emergency department after being found collapsed.
  • Communication was challenging due to a language barrier.

Observation:

  • The patient had a bleeding chest wound in the left second intercostal space, exhibiting air bubbling.
  • Initial management included drain insertion, hemorrhage control, and wound suturing.

Findings:

  • Chest X-ray confirmed correct drain placement.
  • Subsequent swelling and discharge suggested esophageal injury, confirmed by gastrografin swallow.
  • Conservative management was initiated for the esophageal damage.

Implications:

Related Experiment Videos

  • This case highlights the importance of thorough assessment in trauma patients with communication barriers.
  • Prompt recognition and management of penetrating chest injuries are crucial.
  • Conservative treatment can be effective for certain esophageal injuries following trauma.