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The patient with blunt trauma to the chest

30th June 2020


Blunt trauma to the chest can result in the immediate or latent demise of the patient. The management of the of blunt trauma to the chest must follow the ABCDE of trauma management. It requires an understanding of the anatomy and mechanism of injury. Clinical assessment must be thorough and the clinician must have a high index of suspicion for overt injuries. The signs of severity of the injury will be discussed with the immediate management principles.


Mr David O'Regan

Mr Giles Bond-Smith is Clinical Lead for Emergency General Surgery in Oxford. He trained in North East London in General Surgery with a specialist interest in HPB. Having moved to Oxford University Hospitals NHS Foundation Trust Mr Bond-Smith has developed his interest in HPB and also Emergency General Surgery. Mr Bond-Smith is currently the Clinical Lead for Emergency General Surgery in Oxford and apart from transforming the Oxford Acute Surgical Emergency Unit he has been at the forefront of developing Emergency General Surgery in Oxford and the UK as one of the founders of the National Forum for Acute Surgery.

Mr Bond-Smith is an active RSA for both the Royal College of Surgeons of Edinburgh and the Association of Surgeons of Great Britain and Ireland.


Mr Barnabas Green

Barnabas ‘Barney’ Green works as a consultant vascular surgeon at South Tees Hospitals NHS Foundation Trust. His clinical duties cover the full gamut of vascular conditions in addition to contributing to surgical support for major trauma. He served as Regional Surgical Advisor for the RCSEd in the Northeast of England and is now Deputy Director of the Network. Of note, he has convened two hugely successful trauma skills days on the Domestic Terror Attack, and more recently, Violent Crime and Surgery.

Barney is the Clinical Lead for Safer Surgery at South Tees Hospitals NHS Foundation Trust and, having recently stood down as the Quality Lead for Postgraduate Medical Education in his Trust, he continues his commitment to teaching and training to both undergraduates and postgraduates. As part of this role he convenes the Newcastle Surgical Training Centre’s Advanced Cadaveric Vascular Skills course. Barney is involved in research, including a multinational, multimillion Euro research project into revolutionising amputees prostheses, but when it’s all said and done he would much rather spend time with his family, eating good food, climbing mountains and riding bikes with them!


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