Traumatic asphyxia - Revision history

Danbot: Add evidence-based Disposition section

2026-03-22T10:03:13Z

Add evidence-based Disposition section

← Revisión anterior		Revisión del 10:03 22 mar 2026
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	==Management==		==Management==

			==Disposition==
			*All patients require trauma service admission, typically to ICU
			*Evaluate for associated injuries (rib fractures, pulmonary contusion, cardiac injury)
			*Serial monitoring of respiratory status
			*Consider advanced imaging for thoracic and abdominal injuries

	==See Also==		==See Also==

Rossdonaldson1: /* Clinical Features */

2022-04-20T22:22:08Z

Clinical Features

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	[[File:PMC2992570 kjo-24-380-g001.png\|thumb\|Traumatic asphyxia with severe bilateral subconjunctival hemorrhages, chemosis, severe eyelid swelling, and mild exophthalmos.]]		[[File:PMC2992570 kjo-24-380-g001.png\|thumb\|Traumatic asphyxia with severe bilateral subconjunctival hemorrhages, chemosis, severe eyelid swelling, and mild exophthalmos.]]
	[[File:PMC3047851 12245 2010 204 Fig1 HTML.png\|thumb\|A patient with traumatic asphyxia. The head, neck, and upper chest are strikingly cyanotic and edematous, with multiple petechiae; he also had bilateral subconjunctival hemorrhages and bilateral hemopneumothorax.]]		[[File:PMC3047851 12245 2010 204 Fig1 HTML.png\|thumb\|A patient with traumatic asphyxia. The head, neck, and upper chest are strikingly cyanotic and edematous, with multiple petechiae; he also had bilateral subconjunctival hemorrhages and bilateral hemopneumothorax.]]
			[[File:PMC2840592 12245 2009 115 Fig1 HTML.png\|thumb\|A patient with traumatic asphyxia: diffuse petechiae and purpura throughout face and eyelids and submucosal hemorrhages on the lower lip.]]
	Many of the following features can be seen on exam depending on the extent of the force.<ref> Hubble MW, et al. Chest Trauma. In Hubble MW, Hubble JP, eds, Principles of Advanced Trauma Care. Albany, NY: Delmar/Thompson Learning, 2002.</ref>		Many of the following features can be seen on exam depending on the extent of the force.<ref> Hubble MW, et al. Chest Trauma. In Hubble MW, Hubble JP, eds, Principles of Advanced Trauma Care. Albany, NY: Delmar/Thompson Learning, 2002.</ref>
	*Upper-extremity cyanosis		*Upper-extremity cyanosis

Rossdonaldson1: /* Clinical Features */

2022-04-20T22:20:42Z

Clinical Features

← Revisión anterior		Revisión del 22:20 20 abr 2022
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	[[File:PMC4458292 CRIEM2015-359814.001.png\|thumb\|Traumatic asphyxia patient with (a) bilateral subconjunctival hemorrhage; (b) facial cyanosis, petechial eruptions on the anterior surface of the thoracic cage and on left upper extremity.]]		[[File:PMC4458292 CRIEM2015-359814.001.png\|thumb\|Traumatic asphyxia patient with (a) bilateral subconjunctival hemorrhage; (b) facial cyanosis, petechial eruptions on the anterior surface of the thoracic cage and on left upper extremity.]]
	[[File:PMC2992570 kjo-24-380-g001.png\|thumb\|Traumatic asphyxia with severe bilateral subconjunctival hemorrhages, chemosis, severe eyelid swelling, and mild exophthalmos.]]		[[File:PMC2992570 kjo-24-380-g001.png\|thumb\|Traumatic asphyxia with severe bilateral subconjunctival hemorrhages, chemosis, severe eyelid swelling, and mild exophthalmos.]]
			[[File:PMC3047851 12245 2010 204 Fig1 HTML.png\|thumb\|A patient with traumatic asphyxia. The head, neck, and upper chest are strikingly cyanotic and edematous, with multiple petechiae; he also had bilateral subconjunctival hemorrhages and bilateral hemopneumothorax.]]
	Many of the following features can be seen on exam depending on the extent of the force.<ref> Hubble MW, et al. Chest Trauma. In Hubble MW, Hubble JP, eds, Principles of Advanced Trauma Care. Albany, NY: Delmar/Thompson Learning, 2002.</ref>		Many of the following features can be seen on exam depending on the extent of the force.<ref> Hubble MW, et al. Chest Trauma. In Hubble MW, Hubble JP, eds, Principles of Advanced Trauma Care. Albany, NY: Delmar/Thompson Learning, 2002.</ref>
	*Upper-extremity cyanosis		*Upper-extremity cyanosis

Rossdonaldson1: /* Evaluation */

2022-04-20T22:18:40Z

Evaluation

← Revisión anterior		Revisión del 22:18 20 abr 2022
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	==Evaluation==		==Evaluation==
			[[File:PMC3441877 1752-1947-6-257-2.png\|thumb\|CT chest of a patient with traumatic asphyxia showing bilateral hemopneumothorax and multiple lung contusions, especially on the right.]]
	*[[Chest X-ray]]		*[[Chest X-ray]]
	**although often little diagnostic yield<ref>Cook AD, Klein JS, Rogers FB, et al. Chest radiographs of limited utility in the diagnosis of blunt traumatic aortic laceration. J Trauma. May 2001;50(5):843-7</ref>		**although often little diagnostic yield<ref>Cook AD, Klein JS, Rogers FB, et al. Chest radiographs of limited utility in the diagnosis of blunt traumatic aortic laceration. J Trauma. May 2001;50(5):843-7</ref>

Rossdonaldson1: /* Clinical Features */

2022-04-20T22:17:01Z

Clinical Features

← Revisión anterior		Revisión del 22:17 20 abr 2022
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	==Clinical Features==		==Clinical Features==
	[[File:PMC4458292 CRIEM2015-359814.001.png\|thumb\|Traumatic asphyxia patient with (a) bilateral subconjunctival hemorrhage; (b) facial cyanosis, petechial eruptions on the anterior surface of the thoracic cage and on left upper extremity.]]		[[File:PMC4458292 CRIEM2015-359814.001.png\|thumb\|Traumatic asphyxia patient with (a) bilateral subconjunctival hemorrhage; (b) facial cyanosis, petechial eruptions on the anterior surface of the thoracic cage and on left upper extremity.]]
			[[File:PMC2992570 kjo-24-380-g001.png\|thumb\|Traumatic asphyxia with severe bilateral subconjunctival hemorrhages, chemosis, severe eyelid swelling, and mild exophthalmos.]]
	Many of the following features can be seen on exam depending on the extent of the force.<ref> Hubble MW, et al. Chest Trauma. In Hubble MW, Hubble JP, eds, Principles of Advanced Trauma Care. Albany, NY: Delmar/Thompson Learning, 2002.</ref>		Many of the following features can be seen on exam depending on the extent of the force.<ref> Hubble MW, et al. Chest Trauma. In Hubble MW, Hubble JP, eds, Principles of Advanced Trauma Care. Albany, NY: Delmar/Thompson Learning, 2002.</ref>
	*Upper-extremity cyanosis		*Upper-extremity cyanosis

Rossdonaldson1: /* Clinical Features */

2022-04-20T22:15:18Z

Clinical Features

← Revisión anterior		Revisión del 22:15 20 abr 2022
Línea 12:		Línea 12:

	==Clinical Features==		==Clinical Features==
			[[File:PMC4458292 CRIEM2015-359814.001.png\|thumb\|Traumatic asphyxia patient with (a) bilateral subconjunctival hemorrhage; (b) facial cyanosis, petechial eruptions on the anterior surface of the thoracic cage and on left upper extremity.]]
	Many of the following features can be seen on exam depending on the extent of the force.<ref> Hubble MW, et al. Chest Trauma. In Hubble MW, Hubble JP, eds, Principles of Advanced Trauma Care. Albany, NY: Delmar/Thompson Learning, 2002.</ref>		Many of the following features can be seen on exam depending on the extent of the force.<ref> Hubble MW, et al. Chest Trauma. In Hubble MW, Hubble JP, eds, Principles of Advanced Trauma Care. Albany, NY: Delmar/Thompson Learning, 2002.</ref>
	*Upper-extremity cyanosis		*Upper-extremity cyanosis

ClaireLewis: /* Signs and Symptoms */

2019-10-13T21:37:19Z

Signs and Symptoms

← Revisión anterior		Revisión del 21:37 13 oct 2019
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	*[[Arrhythmia]]		*[[Arrhythmia]]
	*Impaired blood flow to the brain can cause		*Impaired blood flow to the brain can cause
	**may result in [[Neurologic_exam\|neurologic deficits]], [[AMS\|altered mental status]], or [Seizures]]		**may result in [[Neurologic_exam\|neurologic deficits]], [[AMS\|altered mental status]], or [[Seizures]]
	**[[ICH\|Hemorrhagic]] [[Stroke (Main)\|CVA]] is unlikely		**[[ICH\|Hemorrhagic]] [[Stroke (Main)\|CVA]] is unlikely

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-26T21:34:12Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Revisión anterior		Revisión del 21:34 26 jul 2016
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	{{Thoracic trauma DDX}}		{{Thoracic trauma DDX}}

	==~~Diagnosis~~==		==Evaluation==
	*[[Chest X-ray]]		*[[Chest X-ray]]
	**although often little diagnostic yield<ref>Cook AD, Klein JS, Rogers FB, et al. Chest radiographs of limited utility in the diagnosis of blunt traumatic aortic laceration. J Trauma. May 2001;50(5):843-7</ref>		**although often little diagnostic yield<ref>Cook AD, Klein JS, Rogers FB, et al. Chest radiographs of limited utility in the diagnosis of blunt traumatic aortic laceration. J Trauma. May 2001;50(5):843-7</ref>

Neil.m.young: Text replacement - "* " to "*"

2016-07-10T08:28:17Z

Text replacement - "* " to "*"

← Revisión anterior		Revisión del 08:28 10 jul 2016
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	*[[Arrhythmia]]		*[[Arrhythmia]]
	*Impaired blood flow to the brain can cause		*Impaired blood flow to the brain can cause
	** may result in [[Neurologic_exam\|neurologic deficits]], [[AMS\|altered mental status]], or [Seizures]]		**may result in [[Neurologic_exam\|neurologic deficits]], [[AMS\|altered mental status]], or [Seizures]]
	**[[ICH\|Hemorrhagic]] [[Stroke (Main)\|CVA]] is unlikely		**[[ICH\|Hemorrhagic]] [[Stroke (Main)\|CVA]] is unlikely

Ostermayer: Text replacement - "Category:Pulm" to "Category:Pulmonary"

2016-03-22T16:12:01Z

Text replacement - "Category:Pulm" to "Category:Pulmonary"

← Revisión anterior		Revisión del 16:12 22 mar 2016
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	*[[Cardiac contusion]]		*[[Cardiac contusion]]

	[[Category:~~Pulm~~]]		[[Category:Pulmonary]]
	[[Category:Trauma]]		[[Category:Trauma]]

	==References==		==References==
	<references/>		<references/>