Pediatric emergency medicine trisk 3279 3279

FIGURE 106.3 Chest radiograph of a child with bronchial foreign body. A: Inspiratory film
demonstrates only subtle hyperaeration of right lung. B: Expiratory film shows accentuated
hyperaeration on the right side secondary to air trapping (“check-valve” phenomenon) by the
foreign body in the right mainstem bronchus. In addition, the mediastinum is displaced to the
left.

LARYNGEAL AND TRACHEAL TRAUMA
Goals of Treatment
Blunt and penetrating laryngeal and tracheal should be promptly identified to
prevent and reverse any respiratory compromise from obstruction or bleeding.
The primary goal for the emergency clinicians is to determine who requires
urgent airway management and how to most safely accomplish this. Fiberoptic