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A single laceration may occur by itself, or many may be present, creating an appearance like Swiss cheese in the radiography of the lung. [4] Pulmonary laceration is usually accompanied by hemoptysis (coughing up blood or of blood-stained sputum). [12] Thoracoscopy may be used in both diagnosis and treatment of pulmonary laceration. [8]
Early management in specialist centres offers better survival. Management is a mixture of medical (eg pain relief, respiratory support, chest drainage and antibiotics), non-medical (physiotherapy and rehabilitation) and surgical (fixation of rib fractures if appropriate and operative treatment of cardiac, lung, airway, diaphragm and oesophageal ...
A pneumatocele results when a lung laceration, a cut or tear in the lung tissue, fills with air. [4] A rupture of a small airway creates the air-filled cavity. [1] Pulmonary lacerations that fill with blood are called pulmonary hematomas. [4] In some cases, both pneumatoceles and hematomas exist in the same injured lung. [5]
Wound assessment is a component of wound management.As far as may be practical, the assessment is to be accomplished before prescribing any treatment plan. The objective is to collect information about the patient and about the wound, that may be relevant to planning and implementing the treatment.
In a conscious patient, or where a pulse and breathing are clearly present, the care provider will initially be looking to diagnose immediately life-threatening conditions such as severe asthma, pulmonary oedema or haemothorax. [14] Depending on skill level of the rescuer, this may involve steps such as: [14]
Injuries that may accompany TBI include pulmonary contusion and laceration; and fractures of the sternum, ribs and clavicles. [2] Spinal cord injury, facial trauma, traumatic aortic rupture, injuries to the abdomen, lung, and head are present in 40–100%. [17]
There are inconsistencies in the terminology of aortic injury. There are several terms which are interchangeably used to describe injury to the aorta such as tear, laceration, transection, and rupture. Laceration is used as a term for the consequence of a tear, whereas a transection is a section across an axis or cross section.
Advanced airway management is frequently performed in the critically injured, those with extensive pulmonary disease, or anesthetized patients to facilitate oxygenation and mechanical ventilation. Additionally, implementation of a cuffing system is used to prevent the possibility of asphyxiation or airway obstruction.