Diferencia entre revisiones de «Traumatic asphyxia»
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Sin resumen de edición |
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*Chest Xray | *Chest Xray | ||
**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 | ||
**used to assess for gross [[Pneumothorax]], [[Rib fracture]], or mediastinal widening concerning for [[Aortic Dissection]] | **used to assess for gross [[Pneumothorax]], [[Rib fracture]], or mediastinal widening concerning for [[Aortic Dissection]] or [[Pulmonary Contusion]] | ||
*CT with IV contrast for better assessment of lung and vasculature | *CT with IV contrast for better assessment of lung and vasculature | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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[[Category:Pulm]] | [[Category:Pulm]] | ||
[[Category:Trauma]] | [[Category:Trauma]] | ||
==Sources== | |||
Revisión del 16:30 7 dic 2014
Background
- Normally a result of blunt chest trauma from an MVA [1]
Signs and Symptoms
- Chest wall bruising or significan tmechanism consistent with thoracic trauma (i.e. seatbelt sign, steering wheel deformity, airb deployment)
- Arrhythmia
Prehospital
- Maintain adequate oxygenation > 92%
- Maintain blood pressure with small fluid boluses if necessary (250cc boluses)
- Assess for tension pneumothorax if patient hypoxic or hypotensive
- Perform Needle thoracostomy if indicated
- Prepare for Advanced Airway if patient persistently hypoxic, unable to maintain airway, or has an anticipated poor clinical course
Workup
- Chest Xray
- 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
- used to assess for gross Pneumothorax, Rib fracture, or mediastinal widening concerning for Aortic Dissection or Pulmonary Contusion
- CT with IV contrast for better assessment of lung and vasculature
Differential Diagnosis
Thoracic Trauma
- Airway/Pulmonary
- Cardiac/Vascular
- Musculoskeletal
- Other
See Also
Thoracic Trauma Cardiac Contusion
Sources
- ↑ Centers for Disease Control and Prevention. Accidents or unintentional injuries. http://www.cdc.gov/nchs/fastats/accidental-injury.htm