Initial Management Strategy for Pneumothorax and Hemothorax in the Emergency Department
DOI:
https://doi.org/10.58344/locus.v4i9.4853Keywords:
Pneumothorax, Hemothorax, Initial Management, Emergency Department, Systematic Literature Review, Chest TraumaAbstract
Pneumothorax and hemothorax are emergency conditions that require rapid and appropriate intervention to prevent life-threatening complications. The emergency department (ED) plays a crucial role in providing initial management through early identification, patient stabilization, and determination of appropriate interventions. The purpose of this research is to comprehensively explain the initial management strategy for pneumothorax and hemothorax in the Emergency Department, from early detection and triage flow to appropriate medical intervention in accordance with emergency management standards. This study used the Systematic Literature Review (SLR) method to identify, analyze, and synthesize literature related to initial management strategies for pneumothorax and hemothorax in the emergency department. The review results show that the dominant themes in the literature are chest trauma patient management, emergency department intervention strategies, and clinical outcomes. Network visualization shows key words such as patient, trauma, pneumothorax, hemothorax, and emergency department. The overlay map indicates a shift in trends from a focus on basic trauma to the evaluation of complications and the latest management strategies, especially in the period 2021–2025. The density map confirms the high level of research attention on patient conditions and trauma, while the development of initial management strategies still needs to be explored further. The initial management strategy for pneumothorax and hemothorax in the emergency department is greatly influenced by a combination of clinical and non-clinical factors. A comparison with international guidelines such as ATLS shows gaps in implementation, particularly in terms of technology availability and protocol consistency.
References
Adhadi, H. H. (2025). Diagnosis dan penatalaksanaan pneumotoraks: Tinjauan pustaka. Cermin Dunia Kedokteran, 52(4), 230-235.
Billa, M. S., & Subandi, A. (2025). Perubahan status hemodinamik pada pasien open pneumothorax dengan implementasi pemasangan occlusive bandage di instalasi gawat darurat: A case report. Jurnal Penelitian Kesehatan "SUARA FORIKES" (Journal of Health Research "Forikes Voice"), 16(2), 546-550.
Gomez, L. P., & Tran, V. H. (2025). Hemothorax. StatPearls Publishing.
Habib, H., & Sudaryo, M. K. (2023). Association between the emergency department length of stay and in-hospital mortality: A retrospective cohort study. Open Access Emergency Medicine, 15, 313-323. https://doi.org/10.2147/OAEM.S415971
Haryanto, A., & Pratiwi, C. J. (2023). Ketepatan triase perawat di unit gawat darurat RSU Kartini Mojosari [Unpublished thesis]. Perpustakaan Universitas Bina Sehat PPNI.
Irfani, K., & Arif, L. (2022). Strategi membangun kepercayaan publik dalam penanganan Covid-19 di Kota Surabaya. Jurnal Ilmiah Manajemen Publik Dan Kebijakan Sosial, 6(1), 69-86.
Lainy, K. P., Nugraha, A. S., Wijaya, R., & Pratama, D. (2024). The role of emergency pleural drainage in the obstructive shock in a left massive hemothorax: A case report. Respiratory Science, 4(3), 172-179.
Laksono, G. A. K., Putri, A. M., Sari, D. N., & Rahman, F. (2021). Hemothorax following penetrating thoracic injury (gunshot wound) in geriatric patient: A case report and emergency management. Journal of Widya Medika Junior, 3(2), 69-77.
Marlika, M. (2025). Hubungan pengetahuan dan self efficacy perawat dengan kesiapan pelaksanaan bantuan hidup dasar (BHD) di unit gawat darurat (UGD) Puskesmas Tinambung, Puskesmas Limboro, dan Puskesmas Tutallu Kabupaten Polewali Mandar [Unpublished thesis]. Universitas Sulawesi Barat.
Nasti, E. M., Wirasakti, C., Daroin, R., Wahyu, Y., & Ekoprasetia, P. (2023). Buku ajar keperawatan gawat darurat. Universitas dr. Soebandi.
Novitasari, D., Sulistyana, C. S., Basuni, H. L., Baidhowy, A. S., Safitri, D. N. R. P., Saputro, S. D., Yusniawati, Y. N. P., Asman, A., Appulembang, I., Suroso, H., & Aty, Y. M. V. B. (2023). Manajemen kegawatdaruratan trauma thoraks. Media Sains Indonesia.
Paramartha, I. K. A., & Kesuma, M. P. (2025). Kompetensi dokter umum di unit gawat darurat dalam manajemen jalan napas: Tinjauan sistematis dan meta-analisis (2015–2025). Jurnal Medicare, 4(2), 235-246.
Pitojo, K. G., Tangkilisan, A., & Monoarfa, A. (2016). Pola trauma tumpul toraks non penetrans, penanganan, dan hasil akhir di Instalasi Rawat Darurat Bedah RSUP Prof. Dr. R. D. Kandou Manado periode Januari 2014 – Juni 2016. eCl, 4(2).
Purba, S. H., Sari, N., Wijaya, A., & Kusuma, R. (2025). Strategi optimalisasi penggunaan SIMRS untuk meningkatkan kinerja rumah sakit. Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF), 3(1), 01-12.
Ramli, H. (2024). Evaluasi penerapan triase berdasarkan emergency severity index dalam peningkatan mutu pelayanan IGD rumah sakit di wilayah Kabupaten Mamuju [Unpublished thesis]. Universitas Hasanuddin.
Sari, Y. (2025). Evaluasi kinerja pemerintah daerah dalam meningkatkan pelayanan publik pada DPMPTSP Kota Padang. Jurnal Ilmu Sosial dan Humaniora, 3(2), 144-158.
Setyowati, T., Mangun, M., Tangka, J. W., Tuegeh, J., Khoti'mah, N. I. H., Siregar, N., Kristiani, A., Herawati, A. T., Fione, V. R., Sumbara, O., Longulo, O. J., Anwar, S., Saptaningrum, E., Kiling, M. A., Hamzah, A., Ransun, D., & Karundeng, Y. (2024). Bunga rampai kegawatdaruratan trauma. Media Pustaka Indo.
Sukarna, P. A., Wijaya, I. M. S., Suryawan, I. W. B., & Pradnyana, I. M. A. (2023). Faktor risiko perburukan pada pasien trauma tumpul thorax di Rumah Sakit Umum Pusat Prof. Dr. IGNG Ngoerah. Intisari Sains Medis, 14(2), 684-690.
Takwa, H. M., & S. KM. (2025). Manajemen risiko dalam rumah sakit: Strategi pencegahan dan mitigasi. PT KIMHSAFI ALUNG CIPTA.
Wibowo, A. Y., Palupi, S., & Triyono, R. S. (2024). Delayed hemothorax due to thoracic trauma with multiple rib fracture: A case report. Jurnal Health Sains, 5(6), 389-393.
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