@article{ref1,
title="Diffuse alveolar hemorrhage: a rare manifestation of trauma",
journal="Military medicine",
year="2011",
author="Allan, Patrick F. and Amjadi, Darius K. and Haynes, Ralph L.",
volume="176",
number="9",
pages="1071-1076",
abstract="OBJECTIVE: Fat emboli syndrome (FES) is a disorder associated with both acute lung injury and acute respiratory distress syndrome. Both FES and diffuse alveolar hemorrhage (DAH) are bronchoscopically definable entities that may share a common etiology. We conducted a chart review analysis to examine the relationship between FES and DAH. METHODS: Retrospective chart review. RESULTS: Three cases of concurrent FES and DAH were identified. Long bone fracture and/or orthopedic procedures preceded all the events and were the likely inciting source for eventual acute lung injury. Bronchoalveolar lavage-evident DAH and FES was found in all these cases in association with hemoptysis and lung-attributed blood loss. Lung-protective ventilation and standard supportive care approaches proved sufficient in attaining good outcomes. CONCLUSION: Combined FES and DAH can occur in association with orthopedic injury and repair and are likely an under-recognized entity.<p /> <p>Language: en</p>",
language="en",
issn="0026-4075",
doi="",
url="http://dx.doi.org/"
}