13 results
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Flail Chest Breathing ... The video shows ... a flail chest, initially ... fractures missed by CXR ... #Chest #Breathing
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Flail Chest Breathing ... The video shows ... a flail chest, initially ... fractures missed by CXR ... #Chest #Breathing
Flail Chest- Check out the paradoxical chest wall movement 
Typical management: opiates for analgesia, intubation due
Flail Chest- Check ... the paradoxical chest ... movement Typical management ... #Pattern #Trauma ... #Video #Clinical
Thoracic Trauma - Lethal 6 and Hidden 6 of Thoracic Trauma
The Lethal 6 of Thoracic Trauma:
Thoracic Trauma ... Tamponade • Flail ... Chest The Hidden ... #diagnosis #management ... #injuries #differential
Pertinent Chest x-ray Findings in the Trauma Patient and Implications
Respiratory distress without x-ray findings - Central
Pertinent Chest ... more places - Flail ... chest, pulmonary ... leak after chest ... abdominal viscus #cxr
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
atelectasis • Lung ... MG, ALS) • ↓ chest ... compliance (e.g., flail ... chest, kyphoscoliosis ... Hypoxemia #Hypoxia #differential
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
disease: Pleuritic chest ... Blood cultures • CXR ... level seen • Chest ... pneumonectomy if fail ... treatment until the chest
Chest Trauma Complications - Differential Diagnosis Algorithm
Cardiac:
 • Cardiac Tamponade*
 • Pericarditis
 • Myocardial Contusion
 •
Chest Trauma Complications ... Aortic Rupture* Chest ... Fractures • Flail ... Chest* • Diaphragm ... Esophageal Injury Lung
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
(assumes Room Air ... Weakness, Loss of Chest ... Wall Elasticity (flail ... chest) • Low ... Hypoxia #hypoxemia #differential
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Differential Diagnosis ... (JVP, edema), Lung ... POCUS (B-lines, lung ... Troponin), ABG, STAT CXR ... , CTA Chest, Echocardiogram