Tracheobronchial Injury

Question 1

True/False

Injury to the trachea or bronchus as a result of blunt trauma is relatively uncommon but can be quite severe.

Answer 1

True

Question 2

Approximately ___% of patients with tracheobronchial injuries die before reaching a hospital.

Answer 2

80%

Question 3

Tracheobronchial injuries are usually the result of _____ and _____.

Answer 3

motor vehicle accidents and crush injuries.

Question 4

True/False
Left-sided bronchial injuries occur more commonly and are typically more severe, while almost 80% occur within 2 cm of the carina.

Answer 4

False

Right-sided injuries are more common and more severe

Question 5

The diagnosis of tracheobronchial injury is missed in at least ___% of patients during the initial trauma evaluation.

Answer 5

25%

Question 6

True/False

Failure to recognize tracheobronchial injury during the initial trauma evaluation is common

Answer 6

True

Question 7

these clinical symptoms and signs suggestive of what kind of injury?

(a) Dyspnea
(b) Subcutaneous emphysema of the neck or upper thoracic region.
(c) Hoarseness
(d) Hemoptysis
(e) Hypoxia
(f) Persistent pneumothorax despite appropriate tube thoracotomy.

Answer 7

Tracheobronchial injury

Question 8

CXR findings indicative of tracheobronchial injury are…..

Answer 8

(a) Subcutaneous emphysema
(b) Pneumomediastinum
(c) Pneumothorax
(d) Peri-bronchial air

Question 9

All patients in respiratory distress with suspected tracheobronchial injury should be…….

Answer 9

endotracheal intubated

Question 10

Stable patients with suspected trauma to the trachea or bronchi should undergo what?

Answer 10

immediate bronchoscopy.

Question 11

True/False

Treatment for tracheobronchial injury can include Cricothyroidotomy if needed

Answer 11

True

Question 12

Should you Medivac one of these patients?

Answer 12

YES