False about chest trauma: (A) ECG done in all cases a\/w sternal fracture, (B) Under water seal drainage if a\/w pneumothorax, (C) X-ray chest investigation of choice, (D) Urgent surgery needed in all cases
Answer is D. 80% of chest injuries can be managed non operatively. Chest radiograph is the initial investigation of choice.If a sucking chest wound is present,this should not be fully closed,but should be covered with a one-way valve,& then an underwater drain should be placed.ECG should be done in all cases associated with sternal injuries to rule out hea damage. Reference:Bailey & Love's sho practise of surgery,25th edition,page no:341