Seat-belt sign indicates possible deceleration or vascular injury
determine seatbelt placement (if worn improperly or abnormal body habitus)
Paradoxical wall movement indicates flail chest
Neck veins
Distended
Tamponade
Tension pneumothorax
Congestive heart failure
Flat
Circulatory shock
Hemothorax
Swollen face
Conjunctival injection + facial edema + mechanism conducive to traumatic asphyxia may indicate SVC compression
also consider judicial/non-judicial hanging and strangulation
Subcutaneous emphysema
Anterior neck/supraclavicular
Tracheobronchial tree
Esophagus (Boerhaave's syndrome)
Chest wall
Visceral/parietal pleura
determine seatbelt placement (if worn improperly or abnormal body habitus)
Distended
Tamponade
Tension pneumothorax
Congestive heart failure
Flat
Tamponade
Tension pneumothorax
Congestive heart failure
Conjunctival injection + facial edema + mechanism conducive to traumatic asphyxia may indicate SVC compression
also consider judicial/non-judicial hanging and strangulation
also consider judicial/non-judicial hanging and strangulation
Anterior neck/supraclavicular
Tracheobronchial tree
Esophagus (Boerhaave's syndrome)
Chest wall
Visceral/parietal pleura
Tracheobronchial tree
Esophagus (Boerhaave's syndrome)
Visceral/parietal pleura
Neck
Trachea midline or displaced
Chest wall
Localized tenderness or crepitus due to rib fracture or subcutaneous emphysema
Sternum
Localized tenderness, crepitus, or mobile segment suggests fracture
Trachea midline or displaced
Localized tenderness or crepitus due to rib fracture or subcutaneous emphysema
Localized tenderness, crepitus, or mobile segment suggests fracture
Thoracic trauma
Airway/Pulmonary
Pulmonary barotrauma
Bronchial injury
Tracheal injury
Diaphragmatic trauma
Trachobronchial injury
Hemothorax