Diferencia entre revisiones de «Airbag injuries»
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==Clinical Features== | ==Clinical Features== | ||
===Burns=== | ===[[Burns]]=== | ||
* Usually minor | *Usually minor | ||
* Related to direct contact with skin or heat from melted clothing | *Related to direct contact with skin or heat from melted clothing | ||
*Deployment releases small amount of alkali | *Deployment releases small amount of alkali | ||
**Skin burns are usually minor | **Skin burns are usually minor | ||
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*see [[Thoracic Trauma (General)]] | *see [[Thoracic Trauma (General)]] | ||
===Cardiac Rupture=== | ===[[Cardiac Rupture]]=== | ||
*Uncommon complication | |||
*Can exist with barotrauma alone with the absence of rib fractures<ref>Lancaster GI, et al. Air-bag-associated rupture of the right atrium. N Engl J Med. 1993; 328:358.</ref> | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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==Workup== | ==Workup== | ||
Physical Exam | *Physical Exam | ||
*Slit lamp | |||
*Consider adjuncts depending of type of presenting injuries | |||
==Management== | ==Management== | ||
* Skin: basic burn care | * [[Caustic burns|Skin]]: basic burn care | ||
* Eye: copious irrigation, pH testing, ophthalmology consult | * [[Caustic keratoconjunctivitis|Eye]]: copious irrigation, pH testing, ophthalmology consult | ||
**Consider conservative management with antibiotics, and a short course of steroids<ref>Brodovsky SC, et al: Management of alkali burns: An 11-year retrospective review. Ophthalmology. 2000; 107:1829-1835.</ref> | |||
==Disposition== | ==Disposition== | ||
*Dispo depends on type and severity of injury | |||
==See Also== | ==See Also== | ||
*[[Caustic Keratoconjunctivitis]] | *[[Caustic Keratoconjunctivitis]] | ||
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==Sources== | ==Sources== | ||
<references/> | <references/> | ||
[[Category:Trauma]] | [[Category:Trauma]] | ||
[[Category:Derm]] | [[Category:Derm]] | ||
Revisión del 21:42 10 mar 2015
Background
- Airbag deployment can cause caustic injuries from aerosolized ALKALI including sodium hydroxide and sodium carbonate
- Additional mechanisms of injury from direct contact, quick deceleration, flexion and or hyperextension depending on seat belt use
Clinical Features
Burns
- Usually minor
- Related to direct contact with skin or heat from melted clothing
- Deployment releases small amount of alkali
- Skin burns are usually minor
- Ocular burns require irrigation, pH testing and ophto f/u
- Long-term sequelae are rare
Ocular Injuries
- Chemical keratitis
- Corneal Abrasion
Cervical and Thoracic Spine Injuries
Cardiac Rupture
- Uncommon complication
- Can exist with barotrauma alone with the absence of rib fractures[1]
Differential Diagnosis
Caustic Burns
- Caustic ingestion
- Caustic eye exposure (Caustic keratoconjunctivitis)
- Caustic dermal burn
- Airbag-related burns
- Hydrofluoric acid
- Tar burn
- Cement burn
Workup
- Physical Exam
- Slit lamp
- Consider adjuncts depending of type of presenting injuries
Management
- Skin: basic burn care
- Eye: copious irrigation, pH testing, ophthalmology consult
- Consider conservative management with antibiotics, and a short course of steroids[2]
Disposition
- Dispo depends on type and severity of injury