Difference between revisions of "Traumatic asphyxia"

m (Rossdonaldson1 moved page Traumatic Asphyxia to Traumatic asphyxia)
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==Background==
 
==Background==
*Normally in children from thoracic trauma
+
*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>
*in kids= benign
 
  
==Diagnosis==
+
==Signs and Symptoms==
have discolored upper torso from compression & incr pressure tmitted to valveless veins
+
*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
  • 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

See Also

Thoracic Trauma

Cardiac Contusion

  1. Centers for Disease Control and Prevention. Accidents or unintentional injuries. http://www.cdc.gov/nchs/fastats/accidental-injury.htm