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Mon Nov 26 14:28:00 GMT 2007

What I'm getting at: was this a prolonged crushing event, or did he just
get the stuffing knocked out of him?  

Without plethora or petechiae (at minimum), I'm thinking the first
diagnosis to exclude would be that of traumatic asphyxia.

Pret

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of khumar huseynova
Sent: Sunday, November 25, 2007 3:24 PM
To: trauma-list at trauma.org
Subject: Re: traumatic asphyxia

Thanks Pret. The pt is a construction worker-think a wall fell on him.
  From what I understood, it is more likely to be a Dx of exclusion.
Someone gave a good path description of the injury-hope not all pts end
up there.

  Cheers  
  K.

  What exactly was the mechanism of injury here?  Frankly, I've read
almost
nothing in the thread thus far that distinguishes this as traumatic
asphyxia, at least not over other garden variety blunt chest trauma.

Consult William of Occam.  Is it not possible -- and very significant --
that you've leapt to the wrong conclusion?  

Pret Bjorn, RN
Bangor, ME USA

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traumatic asphyxia