The Journal of emergency medicine · 2013
Cervical tracheal transection after scarf entanglement in a go-kart engine.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Seims Aaron D, Shellenberger Thomas D, Parrish Gary A, Lube Matthew W
Аннотация
BACKGROUND: Tracheal disruption secondary to blunt force occurs infrequently. Most individuals suffering such an injury die before arriving at a hospital. Diagnosis for those who do present alive is often delayed, as signs and symptoms typically do not match the severity of injury.
OBJECTIVE: The objectives of this case report are to present a unique mechanism for tracheal disruption and to discuss our management strategy.
CASE REPORT: We describe an 18-year-old man who suffered tracheal disruption after entanglement of his scarf in a go-kart engine. His initial workup was conducted by emergency physicians and included computed tomographic evaluation of the neck. After diagnosis, the patient was transported to an operating suite. Awake tracheostomy was performed in this controlled environment to secure the airway, after which the trachea was repaired via primary anastomosis.
CONCLUSIONS: Prompt recognition and appropriate intervention are critical in the care of patients with suspected tracheal transection to prevent mortality.
OBJECTIVE: The objectives of this case report are to present a unique mechanism for tracheal disruption and to discuss our management strategy.
CASE REPORT: We describe an 18-year-old man who suffered tracheal disruption after entanglement of his scarf in a go-kart engine. His initial workup was conducted by emergency physicians and included computed tomographic evaluation of the neck. After diagnosis, the patient was transported to an operating suite. Awake tracheostomy was performed in this controlled environment to secure the airway, after which the trachea was repaired via primary anastomosis.
CONCLUSIONS: Prompt recognition and appropriate intervention are critical in the care of patients with suspected tracheal transection to prevent mortality.