TRUNCAL TRAUMA PENETRATING

ZONES OF  TRUNCAL INJURY

 

 




Nipple line

 


Lateral Costal margin

 

 

ZONE I

 

ZONE II

 

ZONE III

 

RESUSCITATION

Breathing

Circulation

 

ONGOING MANAGEMENT Unstable vs Stable

  • Unstable

  • Zone I
OT (for thoracotomy)
  • Zone II
OT (for laparotomy or thoracotomy depending on FAST U/S and CXR) 
  • Zone III
OT (for laparotomy)
  • Stable
  • Zone I

 

see Thoracic Penetration

 

  • Zone II

 

 

see Thoracic Penetration

AND

see Abdominal Penetration

  • Zone III

see Abdominal Penetration