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Published on: August 15, 2022
Western Trauma Association critical decisions in trauma: Lung injury
Allyson M Hynes1, John P Kuckelman, Raul Coimbra
1Department of Surgery, Division of Trauma and Acute Care Surgery, Medical College of Wisconsin, Milwaukee, WI (A.M.H., M.A.B.); Department of Thoracic Surgery, Madigan Army Medical Center, Tacoma, WA (J.P.K.); Department of Surgery, Division of Acute Care Surgery, Riverside University Health System, Moreno Valley, CA (R.C.); Department of Surgery, Division of Acute Care Surgery, Virginia Tech Carilion School of Medicine, Roanoke, VA (K.L.B.); Department of Surgery, Division of Acute Care Surgery, University of Florida Health, Gainesville, FL (C.A.C.); Department of Surgery, Division of Trauma, Emergency Surgery and Surgical Critical Care, Keck School of Medicine of the University of Southern California, Los Angeles, CA (K.I., M.A.S.); Department of Surgery, Division of Trauma, Surgical Critical Care and Acute Care Surgery, The University of Arizona College of Medicine Phoenix, Phoenix, AZ (N.F.K.); Department of Surgery, Division of Trauma and Surgical Critical Care, University of Tennessee Health Science Center, Memphis, TN (A.J.K.); Department of Surgery, Mission Hospital, Asheville, NC (T.R.K.); Division of Vascular and Endovascular Trauma Surgery, R Adams Cowley Shock Trauma Center, Baltimore, MD (R.K.); Department of Surgery, Methodist Dallas Medical Center, Dallas, TX (M.L.); Department of Surgery, Division of Vascular Surgery, New York University Langone Health, New York City, NY (G.A.M.); Department of Surgery, Division of Acute Care, Trauma & Burn Surgery, The Medical University of South Carolina, Charleston, SC (A.R.P.); Department of Surgery, Division of Acute Care and Regional General Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI (S.A.S.); General Surgery, Trauma & Surgical Critical Care, Department of Surgery, Yale, New Haven, CT (K.M.S.); Department of Surgery, Division of Acute Care Surgery, University of California San Francisco, San Francisco, CA (R.B.T.); Department of Trauma and Acute Care Surgery, Salem Health, Salem, OR (E.M.W.); Department of Surgery, Division of Acute Care Surgery, University of Kansas Medical Center, Kansas City, KS (J.L.H.); Department of Surgery, University of Maryland School of Medicine, Baltimore, MD (D.M.S.).
Abstract:
This is the Western Trauma Association's recommended algorithm for the management of a traumatic lung injury. The current algorithm and recommendations are based on available published randomized trials, observational studies, systematic reviews, and the expert opinion of the Western Trauma Association members. The algorithm and accompanying text represent a safe and reasonable approach to this common problem. We recognize that there may be variability in decision-making, local resources, institutional consensus, and patient-specific factors that may require deviations from the presented algorithm. This annotated algorithm is meant to serve as a basis from which protocols at individual institutions can be developed or serve as a quick bedside reference for clinicians.
Level Of Evidence:
Consensus algorithm from the Western Trauma Association, Level V. (J Trauma Acute Care Surg. 2026;101: 187-198. Copyright c 2026 Wolters Kluwer Health, LLC. All rights reserved.).
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