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Why are trauma patients particularly susceptible to aspiration pneumonia?
Due to their unexpected and emergent nature, they tend to have full stomachs. In conjunction with their impaired airway reflexes if unconscious, this predisposes to aspiration pneumonia.
- Left posterobasal lung collapse/consolidation may be secondary to aspiration pneumonia. Minor atelectactic changes in the right lung. Periportal oedema secondary to rehydration. Endotracheal tube is in situ.
- No mediastinal haematoma or great vessel injury identified. No pneumothorax, sternal, rib, acetabular or clavicular fracture identified. The liver, spleen, pancreas, kidneys and adrenals are within normal limits. No bowel injury identified. No free intra-abdominal fluid or gas.