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October 23, 1967

Traumatic Asphyxia With Acute Rupture of the Diaphragm

Author Affiliations

From the University of Nebraska School of Medicine (Dr. Mathews), Bryan Memorial Hospital, Lincoln (Drs. Carveth and Mathews), and St. Mary's Hospital, Nebraska City, Neb (Dr. Gilligan).

JAMA. 1967;202(4):361-363. doi:10.1001/jama.1967.03130170161034

Traumatic asphyxia and rupture of the left leaf of the diaphragm developed in a 52-year-old white man after a severe compression and crushing injury of the left wall of the chest. An essential feature of the treatment consisted of emergency intubation and ventilation followed by operative repair of the ruptured diaphragm. Because of inadequate alveolar ventilation, tracheostomy was done, and positive pressure breathing was instituted.