All are true about pulmonary contusion except:: (A) Missed on chest X-ray in 20%, (B) Pain management is impoant to prevent hypoventilation, (C) CT is sensitive for diagnosis, (D) >25% contusion may likely needs intubation
Answer is D. Pulmonary Contusion Inadequate pain relief leads to hypoventilation, promotion of atelectasis & worsening hypoxemia. Lung contusions may be present on the initial chest radiograph but typically require time to become visualized (it can be missed) Diagnosis: IOC is CECT. Intubation should be reserved for classical indications only (it can result in Pneumonia).