Widened mediastinum in a child with severe trauma

Buffo-Sequeira, Ilan; Fraser, Douglas D.
November 2007
CMAJ: Canadian Medical Association Journal;11/6/2007, Vol. 177 Issue 10, p1181
Academic Journal
The article focuses on a 3-year-old girl who was struck by a vehicle traveling at a high speed and was thrown approximately 6 meter. The emergency medical services staff noted that the patient was seizing with left-deviated eyes and was rushed to the closest community hospital for resuscitation and was later transferred to the regional trauma center. Despite administration of about 55 milliliter of crystalloid per kilogram body weight, the patient was tachycardic and hypotensive for her age. A chest radiograph was taken with the patient in a supine position showed a widened mediastinum with loss of the aortic knob contour. It stated that a widened mediastinum in trauma patients should be considered an aortic injury until proven otherwise.


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