Common objects causing injury are knives, arrows, spears, and bullets. The objective of management is to restore normal anatomy or physiology resulting from the stab injury.
- For the majority of cases, the chest radiograph alone is adequate.
- Specialized investigations are ordered where more detail required.
- Clean wounds and apply clean dressing to wounds. Tetanus toxoid 0.5ml STAT.
- Make sure resuscitation measures continue during transportation.
- If the implement used during stabbing is still in situ, DO NOT remove.
Advisable this be removed only in a controlled setting like in theatre. For referral, stabilize this by surrounding with heavy dressing or other cloth like material.
- If available, insert chest tube.
- Drain pleural collections using chest tube, which will suffice for most injuries.
- Conduct surgical intervention to stop bleeding that continues, or correct significant anatomical or physiological anomalies. (This is applicable for only about 5% of cases.)