Table 24 Table Thoracic Injury Mechanisms And Severity
AIS |
Skeletal Injury |
Thorax Soft Tissue Injury (Heart / Lungs) |
Upper Abdomen Soft Tissue Injury (Liver / Spleen / Kidneys) |
1 |
1 rib fracture |
Contusion (bruising) of bronchus |
N/A |
2 |
2-3 rib fractures Sternum fracture |
Laceration (cut) of pericardium (area round heart) |
Contusion of liver, spleen, kidney Minor laceration of liver, spleen, kidney |
3 |
4 or more rib fractures. 2-3 rib fractures with hemothorax or pneumothorax |
Contusion of heart. Contusion of lung. Unilateral lung laceration |
Moderate laceration of liver, spleen, kidney |
4 |
Flail Chest. 4 or more rib fractures with hemothorax or pneumothorax |
Bilateral lung laceration Minor aortic laceration |
Multiple lacerations or ‘ burst’ failure of liver and spleen. Major laceration through renal vessel or cortex |
5 |
Bilateral flail chest |
Major aortic laceration Lung laceration with tension pneumothorax |
Massive lacerations of liver and blood vessels to liver. Destruction of the kidneys and spleen |
6 |
- |
Aortic laceration with haemorrhage not confined to mediastinum |
Destruction of the liver |