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Images of Memorable Cases: Case 102

Module by: Herbert L. Fred, MD, Hendrik A. van Dijk

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Case_102-pres1-1.jpg1 Case_102-pres1-2.jpg 2

Case_102-pres1-3.jpg 3

102. Traumatic asphyxia

This 19-year-old airman sustained a calculated 1400 pounds of pressure to his chest when a stationary jet trainer lost its parked attitude and pinned him to the ground. He was freed within 15 seconds. Observers at the scene noted that his eyes became prominent and that his neck and face turned bright red and then dark blue. Image 1, day 1, shows the bluish-black discoloration of his face and neck. Image 2, day 6, shows massive subconjunctival and sublingual hemorrhages, along with marked clearing of the facial discoloration. Image 3, day 9, shows the typically unaffected portions of the conjunctivae. The skin of the face is now normal. For more information on this condition, see Case 25.

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