Received: September 21, 2017
Revision received: September 22, 2017
Accepted after revision: December 16, 2017
BKK Med J 2018;14(1):48-51.
A 53-year-old woman presented at the emergency department with stab wounds on the epigastrium and left posterior chest with a retained knife. The patient was in a right lateral decubitus position and this posed a greater risk to performing an effective physical examination. In a situation like this, the standard Advanced Trauma Life Support (ATLS) approach may be limited with errors in physical examination and monitoring of the patient. Management of this care process and treatment in this position proved challenging.
lateral decubitus physical exam, lateral decubitus injury, ATLS lateral decubitus approach
Theera Suriyawongse, MD Department of Surgery, Samitivej Srinakarin Hospital 488 Srinakarin Rd.,
Suanluang, Bangkok 10250, Thailand.