“HOOAH!” A Case of Pneumomediastinum in the Military Training Environment; Hamman's Sign 71 Years Later

Authors: Jones, Ronald1; Kundrotas, Leon2

Source: Military Medicine, Volume 176, Number 3, March 2011 , pp. 352-355(4)

Publisher: AMSUS - Association of Military Surgeons of the U.S.

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Abstract:

ABSTRACT

A previously healthy 20-year-old male trainee developed chest pain, shortness of breath, and neck pain after repeatedly shouting “Hooah!” during a motivational squad competition. He was found to have developed a pneumomediastinum with soft tissue crepitus of the neck. He had an uneventful recovery. Unique to the military training environment, vigorous shouting, including “Hooah!” as a motivational stimulus, can have barotraumatic consequences. The term “spontaneous” as applied to a pneumomediastinum diagnosis is examined and the auscultatory finding of “Hamman's sign” is reviewed.

Document Type: Research article

Affiliations: 1: 3rd MDW/MDOS, 5955 Zeamer Avenue, Elmendorf AFB, AK 99506. 2: 59th MDW/MDOS, WHMC USAF Medical Ctr, 2200 Bergquist Dr. Suite 1, Lackland AFB, TX 78236.

Publication date: 2011-03-01

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