Today's x-ray

[George K]

https://pubmed.ncbi.nlm.nih.gov/19090379/

[taiwan_girl]

@George-K In English, what are we udnestanding? 555

Sticking a tube in the nose is not a good idea for a person with a skull fracture?

[George K]

@taiwan_girl said in Today's x-ray:

@George-K In English, what are we udnestanding? 555

Sticking a tube in the nose is not a good idea for a person with a skull fracture?

Exactly.

This is a basilar skull fracture - it's right above and behind the nasal bones which act as the roof of the nasal cavity.

They inserted a nano-gastric tube, designed to go into the nose, and down into the stomach. The tube migrated through the fracture and into the brain.

I first saw a similar x-ray when I was an intern and it was one of those "there but for the grace of God...." x-rays.

This has a mortality of about 65%.

[bachophile]

lets just hope they looked at the xray before they started injecting some food or contrast material in the NG tube

[George K]

@bachophile I've had more than one NG tube go submucosal. When I looked in the pharynx, it's not there, but there's something wiggling under the mucosa at the back of the throat...

Hate when that happens.