Diaphragm Trauma

Overview

No Reviews

Credits

1.25

Post Assesment Questions

5

Release Date

5 Oct 2020

Expiration Date

21 Apr 2022

Last Reviewed

21 Apr 2021

Estimated Time To Finish

75 Minutes

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Activity Description

The diagnosis of traumatic diaphragm injuries (TDI) can be difficult but is critical, as a delayed diagnosis can carry significant sequelae. TDIs can occur with both penetrating and blunt trauma and are often occult. Patients may vary in their presentation based on the extent and location of injury (right versus left hemidiaphragm), the presence and extent of abdominal viscera displacement, and the presence of other injuries. For this reason, the mechanism of injury (MOI) plays a crucial role in establishing a high index of suspicion for diaphragmatic injuries. The first report of diaphragm herniation was described in 1541, but it wasn't until a few centuries later, in 1853, that Bowditch diagnosed the first antemortem diaphragmatic injury secondary to trauma. This activity reviews the evaluation and management of traumatic diaphragm injuries and highlights the role of the trauma team, radiologists, and subspecialties in evaluating and managing patients with this condition.

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Target Audience

This activity has been designed to meet the educational needs of physicians.

Learning Objectives

At the conclusion of this activity, the learner will be better able to:

  • Review the anatomy and physiology of the diaphragm.
  • Describe the clinical presentation, signs, and symptoms of traumatic diaphragm injuries and summarize the diagnostic approach of a patient with suspected diaphragm injury/rupture.
  • Understand the treatment and management options available for traumatic diaphragmatic injuries and the limitations to each.

Author(s) / Contributors Disclosure of Conflicts of Interest

The Campbell University Jerry M. Wallace School of Osteopathic Medicine (CUSOM) requires instructors, planners, managers, and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest they or their immediate family may have as related to the content of this activity. All identified conflicts of interest are thoroughly vetted by CUSOM for resolution, to ensure fair balance, scientific objectivity of studies mentioned in the materials or used as the basis for content, and appropriateness of patient care recommendations.

CUSOM will identify, review, and resolve all conflicts of interest that faculty, authors, activity directors, planners, managers, peer reviewers, or relevant staff disclose prior to an educational activity being delivered to learners. Disclosure of a relationship is not intended to suggest or condone bias in any presentation but is made to provide participants with information that might be of potential importance to their evaluation of a presentation. Disclosure information for authors, editors, planners, peer reviewers, and/or relevant staff is provided with this activity.

Contributors

Hover over the contributor names to see details and disclosures of any financial relationships or relationships they or their spouse/life partner have with commercial interests related to the content of this continuing education activity.

Continuing Education Accreditation Information


 

 

The Campbell University Jerry M. Wallace School of Osteopathic Medicine (CUSOM) is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians. CUSOM designates this enduring material for a maximum of 1.25 AOA Category 1 B Credits and will report CME credits commensurate with the extent of the physician's participation in the activity.

Cancellation Policy: Cancellations must be received in writing and a money back guarantee is provided if not completely satisfied.

  • StatPearls and CUSOM reserve the right to cancel any course due to unforeseen circumstances. StatPearls and CUSOM will not be responsible for other expenses incurred by the participant in the unlikely event that the program is canceled.

Equal Opportunity

  • StatPearls and CUSOM are Equal Opportunity / Affirmative Action / Equal Access Institutions. 

Medium or Media Used:

  • Computer Requirements:  Internet Access
  • E-mail Address

Instructions for Credit

  1. Register for the activity and create a StatPearls login.     
  2. Review the required accreditation information:  Target audience, learning objectives and disclosure information.
  3. Complete the entire self-study activity.
  4. Complete the post-test assessments.
  5. Successfully pass the post-test with a minimum score of 100%.
  6. Complete the evaluation form.
  7. Obtain a certificate.

StatPearls and CUSOM adheres to AOA Standards regarding commercial support of continuing medical education. It is the policy of StatPearls and Campbell that the faculty and planning committee disclose real or apparent conflicts of interest relating to the topics of this educational activity, that relevant conflict(s) of interest are resolved and also that authors and editors will disclose any unlabeled/unapproved use of drug(s) or device(s) during their presentation. Detailed disclosure will be made prior to starting the activity.

The information provided at this CME/CE activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition.

  • If you have content or system concerns, please contact support@statpearls.com, or call 727-289-9796.
  • If you have activity or credit concerns, please contact guy@campbell.edu, or call 910-893-7960.

This course is intended for osteopathic physicians who wish to earn AOA CME credit. Take this version of the course to ensure you receive appropriate credit.

 

Media Usage Rights

The contributors and editors of StatPearls have attested that all associated media (images and video) have been legally cleared for use with this activity.  All copyrights are reserved.

  • Name: 'CXR diaphragm rupture with NGt terminating in the chest.png' Attribution: Contributed by Patrizio Petrone et al.
  • Name: 'Collar Sign.jpg' Attribution: Contributed by Bocchini, G., Guida, F., Sica, G. et al. Diaphragmatic injuries after blunt trauma: are they still a challenge?. Emerg Radiol 19, 225–235 (2012). https://doi.org/10.1007/s10140-012-1025-4
  • Name: 'Discontinuity of Diaphragm.png' Attribution: Contributed by Bocchini, G., Guida, F., Sica, G. et al. Diaphragmatic injuries after blunt trauma: are they still a challenge?. Emerg Radiol 19, 225–235 (2012). https://doi.org/10.1007/s10140-012-1025-4
  • Name: 'Dependent viscera sign.png' Attribution: Contributed by Bocchini, G., Guida, F., Sica, G. et al. Diaphragmatic injuries after blunt trauma: are they still a challenge?. Emerg Radiol 19, 225–235 (2012). https://doi.org/10.1007/s10140-012-1025-4
  • Name: 'Dangling sign.png' Attribution: Contributed by Bocchini, G., Guida, F., Sica, G. et al. Diaphragmatic injuries after blunt trauma: are they still a challenge?. Emerg Radiol 19, 225–235 (2012). https://doi.org/10.1007/s10140-012-1025-4

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