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rorylepage jamessmurthwaite's article
Oct 2, 2021 at 22:30
Oct 2, 2021
Mountain Biker's Life Saved After Passing Doctor Performs Trailside Tracheotomy
@HRAGAN: Ya you're right about the neck trauma. I re-read the Washington Post article and looks like the incisions they refer to were just the surgical incisions from the cric. So ya I don't know what was going on with his airway. I mean he may have had a pneumo but a surgical airway doesn't fix that and if that was really the threat to his life you'd think they'd mention that or the needle decompression/chest tube that would have been the intervention that he ultimately needed? Missing some details for sure. But sounds like even after he was discharged from hospital they weren't exactly sure what happened.
rorylepage jamessmurthwaite's article
Oct 2, 2021 at 10:41
Oct 2, 2021
Mountain Biker's Life Saved After Passing Doctor Performs Trailside Tracheotomy
@HRAGAN: Well it doesn’t sound like he had a pneumo let alone a tension pneumo resulting in tracheal deviation. There’s no mention of one. If the life-saving procedure was attempted intubation and then a cricothyrotomy that would mean the main issue was airway obstruction as opposed to an issue with the lungs/pleura/chest wall. So needle decompression wouldn’t have done anything for him. If he had a tension pneumo then ya he would’ve needed a needle decompression and/or chest tube.
rorylepage jamessmurthwaite's article
Oct 1, 2021 at 20:43
Oct 1, 2021
Mountain Biker's Life Saved After Passing Doctor Performs Trailside Tracheotomy
It’s not super clear eh. Something was obstructing his airway though. He had a head injury and it sounds like he lost consciousness (although not immediately and no mention of brain bleed) so it could have just been from that as all the soft tissue in his mouth and throat relaxed and he wasn’t alert enough to protect his airway. But then the Washington Post article also mentions some direct trauma to his neck so maybe he had an expanding hematoma that started to occlude his windpipe? A tension pneumothorax wouldn’t have been fixed by a cricothyrotomy. Pretty cool story. Hopefully the guy’s head injury wasn’t too bad. -medical resident
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