Abstract
The authors report an interesting series of blunt trauma patients who had deep pulmonary lacerations during a 20-year period stratified by the adoption of a modified advanced trauma life support (ATLS) protocol in 2000 [1]. The overall survival was 69%. We are not informed regarding the mortality of the two time periods, which is a significant regrettable omission. The poor prognostic factors were signs of shock on admission, and more blood loss at the time of chest tube insertion (or within 2 hours of insertion) and at thoracotomy.
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