Woe patient is purple

Year 2014, Volume: 39 Issue: 4, 0 - , 22.07.2014

Hatice Doğan Banu Karakuş Yılmaz Erdem Çevik Murat Carus

https://doi.org/10.17826/cutf.85314

Abstract

Aim: Our purpose in presenting this case is to review the management of traumatic asphyxia with blunt thoracic trauma patients. Case: A 47 year-old male patient due to accident at work were brought to the emergency department with chest and abdominal pain. On physical examination face, upper extremities, 1/3 of both the proximal and the body to the level of the nipple with cyanosis, subconjunctival hemorrhage in both eyes was seen. At bed side echocardiography it wasn"t seen pericardial effusion. At chest computed tomography there were pneumomediastenium, sternum fracture and pulmonary contusion. Patient was entubated and admitted to intensive care unit and followed. Conclusion: Traumatic asphyxia is a clinical condition caused by blunt thoracoabdominal trauma, and with good trauma management patients can be discharged with less mortality and morbidity.

Keywords

Traumatic asphyxia, blunt thoracoabdominal trauma, emergency department

Eyvah Hasta Morarmış

Abstract

Giriş: Bu çalışmanın amacı künt toraks travmalı hasta sebebiyle travmatik asfiksi yönetimini gözden geçirmektir. Olgu sunumu: Kırk yedi yaşında erkek hasta acil servise çalışırken maruz kaldığı kaza sonrası göğüs ve karın ağrısı şikayeti ile getirildi. Fizik muayenede hastanın yüz, boyun ve gövdenin meme başı hizasının üst tarafı ile üst ekstremite 1/3 proksimali siyanotikti ve her iki gözde subkonjonktival hemoraji mevcuttu. Yatak başı ekokardiyografide perikardiyal efüzyon yoktu. Akciğer tomografisinde pnömomediastinum, sternum kırığı ve pulmoner kontüzyon mevcuttu. Hasta entübe edilerek yoğunbakımda takip edildi. Sonuç: Travmatik asfiksi künt torakoabdominal travma ile oluşan klinik bir durumdur ve hastalar iyi travma yönetimi ile daha düşük mortalite ve morbidite ile taburcu edilebilirler.

Keywords

Travmatik asfiksi, künt torakoabdominal travma, acil servis

References

• El Koraichi A, Benafitou R, Tadili J et al. Traumatic asphyxia or Perthe’s syndrome. About two paediatric cases. Ann Fr Anest Reanim 2012;31:259-61.
• Besson A, Saegesser F. The acute thoracic compression syndrome: so-called traumaticasphyxia. A colour atlas of chest trauma and assosiated injuries. 1st Ed: 117-21. Netherlands, Wolfe Medical Publications Ltd, 1989.
• Karamustafaoglu YA, Yavasman I, Tiryaki S, Yoruk Y. Traumatic asphyxia. Int J Emerge Med 2010;4:379-80.
• Senoglu M, Senoglu N, Oksuz H, Ispir G. Perthes Syndrome associated with intramedullary spinal cord hemorrhage in a 4-year-old child: a case report. Cases J. 2008;13:17.
• Guitron J, Huffman LC, Howington JA, LoCicero III J. Blunt and Penetrating Injuries of the Chest Wall, Pleura, and Lung. In: Shields TW, Locicero III J, Reed CE, Feins RH, eds. General Thoracic Surgery. 7th ed. Philadelphia: Lippincott Williams and Wilkins; 2009:891-902.
• Şenoglu N, Oksuz H, Zıncırcı B, Ezbercı M, Yasım A. Severe traumatic asphyxia: two case report and literature review. Turkish J Thorac Cardiovas Surg 2006;14:78-81.
• Ertok İ, Kurtoglu G, Ercan G, Karakayalı O, Yılmaz M, Erşen T. Review of Traumatic Asphyxia Syndrome with a Case Presentation. JAEMCR 2013;4:58-61.
• Kamali S, Kesici S, Gunduz I, Kesici U. A Case of Traumatic Asphyxia due to Motorcycle Accident. Case Rep Emer Med 2013; Article ID 857131.
• Judith E. Tintinalli, J. Stephan Stapczynski, David M. Cline, O. John Ma, Rita K. Cydulka, and Garth D. Meckle The American College of Emergency Physicians Section 21 Trauma, Chapter 258 Pulmonary Trauma. In: Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 7e, 2010. . .
• YazışmaAdresi / Address for Correspondence: Dr.Hatice Doğan Bağcılar Eğitim ve Araştırma Hastanesi Acil Kliniği İSTANBUL E-mail: [e-mail] G eliş tarihi/Received on : 20.03.2014
• Kabul tarihi/Accepted on: 30.04.2014