10 results
Pertinent Chest x-ray Findings in the Trauma Patient and Implications
Respiratory distress without x-ray findings - Central
Findings in the Trauma ... Pneumothorax, pulmonary ... abdominal viscus #cxr ... #chestxray #trauma ... #diagnosis #signs
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Flail Chest Breathing ... fractures missed by CXR ... , so use CT to identify ... #clinical #video ... #trauma #pulmonary
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Flail Chest Breathing ... fractures missed by CXR ... , so use CT to identify ... #clinical #video ... #trauma #pulmonary
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
film and can suggest ... abutting the pleura, air-bronchograms ... feeding vessel sign ... feeding vessel sign ... #CXR #CTChest #
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
bronchial wall injury ... Loss of weight • Chest ... Nasal polyps and signs ... thickening, presence of air-fluid ... CT) • Broncho-arterial
Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
guarding/peritoneal signs ... SIGNS: (alluding ... CULLENS SIGN --> ... GREY TURNER SIGN ... #Injury #clinical
Basics of Waveform Capnography
Waveform capnography assesses ventilation by monitoring exhaled carbon dioxide
Can use measurement and morphology
data regarding pulmonary ... pathophysiology CLINICAL ... Assessing ROSC during CPR ... /AIR TRAPPING ... oscillations - Sign
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
Management Pneumonia Signs ... • Pleuritic chest ... infiltrate by chest ... radiograph or CT ... Management #treatment #Pulmonary
Resuscitative Thoracotomy
NOTE: this video is NOT standard technique.
Aka "cracking the chest". A potentially life saving technique
relief of pressure&air ... tamponade -cardiac injury ... loss of vital signs ... with signs of life ... #video #trauma
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... SpO2 88% on room air ... This patient’s clinical ... x-ray (CXR), try ... not seen on a CXR