Traumatic asphyxia: Difference between revisions
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==Background== | ==Background== | ||
*Normally | *Normally a result of blunt chest trauma from an MVA <ref>Centers for Disease Control and Prevention. Accidents or unintentional injuries. http://www.cdc.gov/nchs/fastats/accidental-injury.htm</ref> | ||
== | ==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]] | |||
*CT with IV contrast for better assessment of lung and vasculature | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Thoracic trauma DDX}} | {{Thoracic trauma DDX}} | ||
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==See Also== | ==See Also== | ||
[[Thoracic Trauma]] | [[Thoracic Trauma]] | ||
[[Cardiac Contusion]] | |||
[[Category:Pulm]] | [[Category:Pulm]] | ||
[[Category:Trauma]] | [[Category:Trauma]] | ||
Revision as of 16:29, 7 December 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
- 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
- ↑ Centers for Disease Control and Prevention. Accidents or unintentional injuries. http://www.cdc.gov/nchs/fastats/accidental-injury.htm