Chinese expert consensus on echelons treatment of thoracic injury in modern warfare

Zhao-Wen Zong; Zhi-Nong Wang; Si-Xu Chen; Hao Qin; Lian-Yang Zhang; Yue Shen; Lei Yang; Wen-Qiong Du; Can Chen; Xin Zhong; Lin Zhang; Jiang-Tao Huo; Li-Ping Kuai; Li-Xin Shu; Guo-Fu Du; Yu-Feng Zhao

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Chinese expert consensus on echelons treatment of thoracic injury in modern warfare

POSITION ARTICLE AND GUIDELINES | Updated：2022-12-27

- Chinese expert consensus on echelons treatment of thoracic injury in modern warfare
- Chinese expert consensus on echelons treatment of thoracic injury in modern warfare
- 解放军医学杂志（英文版） 2019年6卷第1期页码：1-12
- Affiliations：
  
  1. State Key Laborator y of Trauma, Burn and Combined Injury, Department of War Wound Rescue Skills Training, Base of Army Health Service Training, Army Medical University
  2. Department of Cardiothoracic Surgery, Changzheng Hospital, Naval Medical University
  3. Department of Trauma Surgery, Daping Hospital, Army Medical University
  4. Special Clinic Department of Bethune Medical Profession Sergeant School
  5. Institute of Health Service and Medical Information, Academy of Military Medical Sciences of the Chinese PLA
  6. Department of Pharmacy, Naval Medical University
- Author bio：
- Funds：
  
  supported by the “Thirteenth Five-Year Plan” Special Project in Military Logistics Scientific Program（AWS16J032）;the Innovation Project of Military Medicine（16CXZ017）
- DOI：
  中图分类号： R826
- 纸质出版：2019
- Accepted：
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Chinese expert consensus on echelons treatment of thoracic injury in modern warfare[J]. 解放军医学杂志（英文版）, 2019,6(1):1-12.

[1]Zhao-Wen Zong,Zhi-Nong Wang,Si-Xu Chen,Hao Qin,Lian-Yang Zhang,Yue Shen,Lei Yang,Wen-Qiong Du,Can Chen,Xin Zhong,Lin Zhang,Jiang-Tao Huo,Li-Ping Kuai,Li-Xin Shu,Guo-Fu Du,Yu-Feng Zhao.Chinese expert consensus on echelons treatment of thoracic injury in modern warfare[J].Military Medical Research,2019,6(01):1-12.
Chinese expert consensus on echelons treatment of thoracic injury in modern warfare[J]. 解放军医学杂志（英文版）, 2019,6(1):1-12. DOI：

[1]Zhao-Wen Zong,Zhi-Nong Wang,Si-Xu Chen,Hao Qin,Lian-Yang Zhang,Yue Shen,Lei Yang,Wen-Qiong Du,Can Chen,Xin Zhong,Lin Zhang,Jiang-Tao Huo,Li-Ping Kuai,Li-Xin Shu,Guo-Fu Du,Yu-Feng Zhao.Chinese expert consensus on echelons treatment of thoracic injury in modern warfare[J].Military Medical Research,2019,6(01):1-12. DOI：

摘要

Abstract

The emergency treatment of thoracic injuries varies of general conditions and modern warfare. However

there are no unified battlefield treatment guidelines for thoracic injuries in the Chinese People’s Liberation Army（PLA）. An expert consensus has been reached based on the epidemiology of thoracic injuries and the concept of battlefield treatment combined with the existing levels of military medical care in modern warfare. Since there are no differences in the specialized treatment for thoracic injuries between general conditions and modern warfare

first aid

emergency treatment

and early treatment of thoracic injuries are introduced separately in three levels in this consensus. At Level Ⅰfacilities

tension pneumothorax and open pneumothorax are recommended for initial assessment during the first aid stage. Re-evaluation and further treatment for hemothorax

flail chest

and pericardial tamponade are recommended at Level Ⅱ facilities. At Level Ⅲ facilities

simple surgical operations such as emergency thoracotomy and debridement surgery for open pneumothorax are recommended. The grading standard for evidence evaluation and recommendation was used to reach this expert consensus.

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