title: [Advanced Trauma Life Support can be hazardous].
abstract: A 22 year-old patient wearing a down- and feather jacket was brought to the emergency department after a car accident. Initial treatment was according to Advanced Trauma Life Support principles. The patient was awake and stable. A computed tomography showed no abnormalities. However, a severe asthmatic allergic reaction was observed after total body exposure by cutting up the patient's clothes including the down- and feather jacket. The patient's asthmatic reaction was successfully treated and the patient fully recovered. In conclusion, an allergic reaction may rarely simulate more obvious trauma-related pathophysiology.
authors.affiliation: Anaestesiologisk Afdeling, Køge Sygehus, Denmark. jes.braagaard@dadlnet.dk
authors.forename: Jes Niels
authors.initials: JN
authors.lastname: Braagaard
authors.forename: Thue
authors.initials: T
authors.lastname: Bisgaard
mesh_terms: D000063:Accidents, Traffic; D000393:Air Pollutants / Q000009:adverse effects; D000818:Animals; D001249:Asthma / Q000209:etiology / Q000628:therapy; D003020:Clothing / Q000009:adverse effects; D005241:Feathers; D006801:Humans; D006967:Hypersensitivity / Q000209:etiology / Q000628:therapy; D008020:Life Support Care; D008297:Male; D055815:Young Adult
chemical_list: D000393:Air Pollutants