Traumatic asphyxia complicated by unwitnessed cardiac arrest.
We report a case of traumatic asphyxia complicated by unwitnessed cardiac arrest in which the patient has made a good, functional recovery. Traumatic asphyxia is an uncommon clinical syndrome usually occurring after chest compression. Associated physical findings include subconjunctival hemorrhage and purple-blue neck and face discoloration. These facial changes can mimic those seen with massive closed head injury; however, cerebral injury after traumatic asphyxia usually occurs due to cerebral hypoxia. When such features are observed, the diagnosis of traumatic asphyxia should be considered. Prompt treatment with attention to the reestablishment of oxygenation and perfusion may result in good outcomes.
Koniaris
L G
LG
Department of Surgery, Johns Hopkins Hospital, Baltimore, MD 21205, USA.
Kross
M E
ME
O'Malley
N
N
Cornwell
E E
EE
D000328:Adult; D001237:Asphyxia / Q000209:etiology*; D016887:Cardiopulmonary Resuscitation; D003229:Conjunctival Diseases / Q000209:etiology; D004438:Ecchymosis / Q000209:etiology; D005130:Eye Hemorrhage / Q000209:etiology; D005145:Face; D006323:Heart Arrest / Q000150:complications*; D006801:Humans; D002534:Hypoxia, Brain / Q000209:etiology; D008297:Male; D009333:Neck / Q000473:pathology; D011693:Purpura / Q000209:etiology; D020127:Recovery of Function; D012871:Skin Diseases / Q000209:etiology; D013898:Thoracic Injuries / Q000150:complications*; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000150:complications*