Clinical Case Database / Category: Case Based Discussion

Management of chest trauma in the Emergency Department

Publication details

Dr Clare Ginnis, Dr Sophy Rymaruk, Dr Roger Dalton
Foundation Years Journal, volume 7, issue 2, p.21 (123Doc Education, London, February 2013)


A 48 year old man was brought to the Emergency Department by airambulance after colliding into a cliff face whilst paragliding; he had then fallen a further 5 feet to the ground. The pre-alert call to the Emergency Department suggested he had sustained significant thoracic injuries.

Access the Clinical Cases Database

A subscription is required to read the full article. Please subscribe using one of the options below.

Foundation Years Clinical Cases Database£29.006 months
Add to cart
Foundation Years Clinical Cases Database£39.0012 months
Add to cart


Dr Clare Ginnis (Corresponding author)

ST4 trainee in Emergency Medicine
Emergency Dept
Northern General Hospital
Herries Road
S5 7AU

Dr Sophy Rymaruk

F2 trainee
Northern General Hospital

Dr Roger Dalton

Consultant in Emergency Medicine
Northern General Hospital


1.  Laws D, Neville E, Duffy J. ‘BTS Guidelines for the Insertion of a Chest Drain.’ Thorax 2003: 58(2); 53-59

2.  American College of Surgeons Committee on Trauma. ‘Advanced Trauma Life Support.’ Eighth Edition 2008

3.  Parry G, Morgan W, Salama F. ‘Management of Haemothorax.’ Annals Royal College of Surgery England 1996: 78(4); 325-6

4.  Exadaktylos A, Sclabas G, Schmid S. ‘Do We Really Need Routine Computed Tomographic Scanning in the Primary Evaluation of Blunt Chest Trauma in Patients with “Normal” Chest Radiograph?’ Journal of Trauma-Injury Infection & Critical Care. 2001: 51(6); 1173-1176

5.  McEwan K, Thompson P. ‘Ultrasound to Detect Haemothorax after Chest Injury.’ Emergency Medicine Journal 2007: 24(12); 867

6.  Miller P, Croce M, Bee T. ‘ARDS after Pulmonary Contusion: Accurate Measurement of Contusion Volume Identifis High-Risk Patients.’ Journal of Trauma Injury Infection & Critical Care 2001: 51(2); 223-230


Conflict Of Interest

The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (

Financial Statement

The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.

Patient Consent statement

All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts ( The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.

Animal & Human Rights

When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.

About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.