Author(s)

Almeimoune Abdoulhamidou^1,2, Diop Madane Thierno^1,2, Mangane Moustapha^1,2, Démbele Seidou Alaji^2,3, Coulibaly Mahamadoun^2,4, Sogoba Youssouf^2,5, Abdoulaye Chiad Mahamadoun Cisse^2,6, Harouna Sangare¹, Sidy Yattara¹, Ogalat Enyengue Murielle Ingrid¹, Kassogue André¹, Diallo Boubacar⁷, Amadou Bah⁸, Madiassa Konaté^2,8, Yoro B. Sidibe⁸, Diango Djibo Mahamane^1,2

¹Department of Anesthesia, Resuscitation and Emergency Medicine at CHU Gabriel Toure, Bamako, Mali.
²Bamako Faculty of Medicine and Odontostomatology, Bamako, Mali.
³Resuscitation Anesthesia Service CHU IOTA, Bamako, Mali.
⁴Anesthesia and Intensive Care Unit CHU Luxembourg, Bamako, Mali.
⁵Neurosurgery Department, The Gabriel Touré University Hospital, Bamako, Mali.
⁶Emergency Department, The Hospital of Mali, Bamako, Mali.
⁷Department of Anesthesia, Resuscitation and Emergency Medicine at CHU Point G, Bamako, Mali.
⁸General Surgery Department, The University Hospital of Gabriel Toure, Bamako, Mali.

In Mali, chest injuries remain a real public health problem and are associated with heavy morbidity and mortality. Faced with a resurgence of urban civil violence and the explosion of road accidents, we decided to conduct this study in order to describe the epidemiological, clinical and therapeutic aspects of thoracic trauma in the emergency department. Method and Material: This is a descriptive prospective study over a period of one year in the emergency department of the CHU Gabriel Touré. Including all patients admitted for thoracic trauma. Analysis and Entry: Data were entered and analyzed on SPSS software version 20.0. The test was significant for a p value < 0.05. Results: We recorded 21,090 appeals in our structure among which 1284 patients were suspected of thoracic trauma. The diagnosis of thoracic trauma was retained in 119 (0.56%) patients. All patients were transported to the emergency room without prehospital medicalization. Clinical presentation was dominated by dyspnea in 54.6% of patients, however pain was the almost constant symptom in conscious victims. Various traumatic mechanisms had caused these lesions of the thorax, of which road traffic accidents represented half of the causes, followed by urban civil violence in 28.6% of patients. Landslides and falls from a great height were responsible for 19.5% of chest injuries. Open chest trauma was the type of lesion found in a third of the cases. This type of injury was exclusively due to blows and injuries during the brawls. Standard chest radiography was performed as the first intention in 60% of patients compared to 10.9% for the pleuropulmonary ultrasound. Thirteen patients required ventilatory assistance after orotracheal intubation. The average length of stay was 65.23 hours. During the period of our study, the overall mortality was 1.85% in the emergency departments with a lethality specific to chest trauma of 15%. Conclusion: Urban violence with its share of ballistic wounds determined the severity of this condition.

Chest Trauma, Emergencies, Bamako, Mali

Abdoulhamidou, A. , Thierno, D. , Moustapha, M. , Alaji, D. , Mahamadoun, C. , Youssouf, S. , Cisse, A. , Sangare, H. , Yattara, S. , Ingrid, O. , André, K. , Boubacar, D. , Bah, A. , Konaté, M. , Sidibe, Y. and Mahamane, D. (2021) Chest Trauma at the Emergency Department of the Gabriel Touré University Hospital Bamako, Mali. Open Journal of Emergency Medicine, 9, 18-24. doi: 10.4236/ojem.2021.92003.