sofidexFor patientsAre you a clinician? Clinical site

Warning-sign checks

Tracheal rupture: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    A suspected tracheal rupture is an emergency.

    Call emergency services if you develop any of the following after a neck or chest injury, intubation, tracheostomy, bronchoscopy, or operation:

    • New or rapidly worsening difficulty breathing
    • Fast-growing swelling of the neck, face, or chest
    • Blue, grey, or unusually pale lips or skin
    • Severe chest or neck pain
    • Coughing up more than a small streak of blood
    • Harsh or high-pitched breathing sounds
    • Fainting, confusion, or extreme drowsiness
    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    If you are recovering from a diagnosed rupture, seek prompt medical advice for fever, increasing cough, foul or discoloured mucus, worsening swallowing pain, new wheezing, or increasing swelling.

    These symptoms may indicate infection, continued air leakage, or airway narrowing.

  3. 3

    Does any of this apply?

    Book an appointment

    Keep routine follow-up appointments even when recovery appears to be going well.

    They are used to confirm healing, monitor any stent or repair, and look for later scar narrowing.

The article also says

Do not drive yourself if breathing is difficult or symptoms are progressing.

Every sign above is quoted from the sofidex article on Tracheal rupture. If you are not sure, err upward — it is always reasonable to be checked.