Palomares, AaronBjörnsson, Hjalti Már2025-11-202025-11-202025-02-10Palomares, A & Björnsson, H M 2025, 'Bráð lokun öndunarvegar utan sjúkrahúss vegna blæðingar í aftankoksbil : sjúkratilfelli', Læknablaðið, vol. 111, no. 2, pp. 68-71. https://doi.org/10.17992/lbl.2025.02.8260023-7213236530387a37791c0-e6c5-4ebd-85ab-64cd6b42c8cc8521727109539878592unpaywall: 10.17992/lbl.2025.02.826https://hdl.handle.net/20.500.11815/7776Publisher Copyright: © 2025 Laeknafelag Islands. All rights reserved.Lýst er tilfelli þar sem rúmlega sjötugur karlmaður leitaði á bráðamóttöku vegna kyngingarerfiðleika eftir byltu. Reyndist hann með mikla blæðingu í aftankoksbil sem á rúmri klukkustund frá áverka lokaði öndunarvegi. Þar sem ekki var unnt að barkaþræða um munn vegna blæðingarinnar var framkvæmdur bráður barkaskurður í sjúkrabíl af sérnámslækni. Var sjúklingur síðan fluttur til frekari meðferðar á Landspítala en útskrifaðist heim við góða heilsu 19 dögum síðar. Aftankoksblæðingar í kjölfar áverka eru sjaldgæfar. Ekki hefur áður verið lýst að framkvæmdur hafi verið lífsbjargandi barkaskurður utan sjúkrahúsa vegna þessa áverka.A case is reported of a man in his 70s that presented to the emergency department due to difficulty swallowing after a fall. He was found to have a large retropharyngeal hematoma, which led to complete airway obstruction about an hour after the injury. As oral endotracheal intubation was impossible due to the bleeding, an emergency cricothyrotomy was performed in an ambulance by an emergency medicine trainee. The patient was then transferred to Landspitali for further treatment, but was discharged home in good health 19 days later. Retropharyngeal bleeding following trauma is rare. A pre-hospital cricothyrotomy has not previously been reported for this injury.481739568-71isinfo:eu-repo/semantics/openAccessAccidental FallsAcute DiseaseAgedAirway Obstruction/etiologyDeglutitionHematoma/etiologyHemorrhage/etiologyHumansIntubation, IntratrachealMaleTomography, X-Ray ComputedTreatment Outcome/dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article10.17992/lbl.2025.02.826