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Complete Tracheal Transection Following Blunt Trauma in a Pediatric Patient

Holmes, Jessica E. MSN, RN, CPN, CPEN; Hanson, Carol A. MSN, RN, CCRN

doi: 10.1097/JTN.0000000000000100
CASE STUDY
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Tracheal injury from blunt trauma is a rare, life-threatening condition in pediatric patients. Rapid assessment and identification of the severity of the injury will increase the likelihood of survival. Subcutaneous emphysema, pneumomediastinum, and persistent pneumothoraces after chest tube placement should be considered in the index of suspicion for tracheal injury. Treatment for a complete tracheal transection includes rapid airway securement via endotracheal tube or tracheostomy and careful surgical repair in the operating room in conjunction with bronchoscopy.

Janet Weis Children's Hospital at Geisinger Medical Center, Danville, Pennsylvania (Ms Holmes and Ms Hanson).

Correspondence: Jessica E. Holmes, MSN, RN, CPN, CPEN, 100 N. Academy Ave MC 21-68, Danville, PA 17822 (Jeholmes1@geisinger.edu).

The authors declare no conflicts of interest.

Copyright © 2015 by the Society of Trauma Nurses.