A trauma patient presents with stridor and hoarseness. Which statement is most accurate?

• A. Cardiac injury is the most likely cause.
• B. These findings indicate dehydration.
• C. There is no airway issue.
• D. There is airway compromise.

Answer: (D)

The main concept is that stridor and hoarseness after trauma point to airway compromise from injury or swelling in the upper airway. Stridor is a high-pitched sound from turbulent airflow through a narrowed segment, usually around the larynx or trachea. Hoarseness indicates involvement of the vocal cords or laryngeal structures. Together, these findings mean the airway is threatened and requires urgent assessment and potential securing of the airway. Claims that there is no airway issue, or that the signs reflect dehydration or unrelated problems, aren’t consistent with the symptoms. In a trauma patient, recognizing airway compromise early is critical, so preparation for airway management (and precautions for potential difficult intubation or neck injury) is appropriate.