Bronchial injury

Background

Primarily due to rapid deceleration
Most occur within 2cm of carina

Clinical Features

Dyspnea, hemoptysis, subcutaneous emphysema, sternal tenderness
Pneumothorax, pneumomediastinum

Differential Diagnosis

Thoracic Trauma

Airway/Pulmonary
Cardiac/Vascular
- Cardiac injury
  - Blunt cardiac injury
    - Cardiac contusion
    - Commotio cordis
  - Penetrating cardiac injury
  - Cardiac tamponade
- Traumatic aortic transection
Musculoskeletal
Other

Management

All lacerations of the bronchi involving more than 1/3 of the circumference need surg

See Also

Thoracic trauma

References

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