A Diaphragmatic Hernia and Pericardial Rupture Caused by Blunt Injury of the Chest: A Case Review.
Ru Gao, Donghui Jia, Huimin Zhao and 2 others
PMID 30216264WHAT IT FOUND
A man with blunt chest trauma developed a diaphragmatic hernia and pericardial rupture days after admission.
Nurses must monitor for sudden dyspnea and hypotension. Rapid assessment, large-bore IV access, and early surgical repair are critical for survival in these complex injuries.
Key findings
01Delayed presentation of diaphragmatic hernia and pericardial rupture can cause sudden cardiac arrest days after initial trauma admission.
02Nursing care requires rapid assessment, large-bore IV access, and continuous monitoring of cardiac rhythm and urine output to manage life-threatening injuries.
03Thoracic closed drainage flow exceeding 100 ml/hr indicates active bleeding and requires immediate physician notification.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Findings are based on a single patient, so they do not establish generalizable treatment protocols or outcomes. The nursing recommendations are descriptive best practices rather than tested interventions with measured efficacy.
Declared interests
The authors declare no conflicts of interest.
The easy way to misread this
Do not assume this case proves a specific nursing protocol reduces mortality. The patient's survival reflects individual clinical course and emergency response, not evidence that these nursing actions work for all trauma patients.