TY - CHAP M1 - Book, Section TI - Thoracic Injuries A1 - Beaudin, Marianne A1 - Falcone Jr, Richard A. A2 - Ziegler, Moritz M. A2 - Azizkhan, Richard G. A2 - Allmen, Daniel von A2 - Weber, Thomas R. PY - 2014 T2 - Operative Pediatric Surgery, 2e AB - The initial approach to thoracic trauma is no different from that employed for any child who is seriously injured. Priorities includes securing the airway, maximizing breathing, and ensuring that circulation is adequate.Mortality from blunt trauma is usually related to associated injuries.Emergency department (ED) thoracotomy should be performed solely for patients having suffered a penetrating injury with signs of life either at the scene or on arrival.The most important principle in managing children with rib fractures is adequate control of pain.The majority of injuries to the lung and pleura are successfully managed with tube thoracostomy and rarely require thoracotomy. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/08 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1100438319 ER -