- Transfer of kinetic energy to the lung, causing direct damage to the lung parenchyma, resulting in both hemorrhage and edema in the absence of a pulmonary laceration
- Mortality rate is 10–25%
- Independent risk factor for:
- Acute respiratory distress syndrome
- Long-term respiratory dysfunction
- Development of pulmonary contusion (PC):
- Takes place in 2 stages:
- First stage, which is related to the direct injury, results in alveolar hemorrhage and edema
- Second stage is related to the indirect worsening of the injury as a result of measures that occur during the resuscitation of the patient, in particular, administration of IV fluids
- Takes place in 2 stages:
- Leads to:
- Decreased lung compliance
- Increased alveolar capillary permeability
- Increased intrapulmonary shunting
- Acute local and systemic inflammation
- Hypoxemia, hypercarbia, acidosis
- Increased respiratory work
- Respiratory failure/ARDS
- Blunt or penetrating thoracic trauma
- Sudden deceleration–compression
- Fall from height
- Motor vehicle accident
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Schaider, Jeffrey J., et al., editors. "Pulmonary Contusion." 5-Minute Emergency Consult, 5th ed., Lippincott Williams & Wilkins, 2016. Emergency Central, emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307094/2.2/Pulmonary_Contusion.
Pulmonary Contusion. In: Schaider JJJ, Barkin RMR, Hayden SRS, et al, eds. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307094/2.2/Pulmonary_Contusion. Accessed May 29, 2023.
Pulmonary Contusion. (2016). In Schaider, J. J., Barkin, R. M., Hayden, S. R., Wolfe, R. E., Barkin, A. Z., Shayne, P., & Rosen, P. (Eds.), 5-Minute Emergency Consult (5th ed.). Lippincott Williams & Wilkins. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307094/2.2/Pulmonary_Contusion
Pulmonary Contusion [Internet]. In: Schaider JJJ, Barkin RMR, Hayden SRS, Wolfe RER, Barkin AZA, Shayne PP, Rosen PP, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. [cited 2023 May 29]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307094/2.2/Pulmonary_Contusion.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Pulmonary Contusion ID - 307094 ED - Barkin,Adam Z, ED - Shayne,Philip, ED - Rosen,Peter, ED - Schaider,Jeffrey J, ED - Barkin,Roger M, ED - Hayden,Stephen R, ED - Wolfe,Richard E, BT - 5-Minute Emergency Consult UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307094/2.2/Pulmonary_Contusion PB - Lippincott Williams & Wilkins ET - 5 DB - Emergency Central DP - Unbound Medicine ER -