452 results
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
EMHighAK) and Brit Long ... Rib Fractures Rib ... x-ray (CXR), try ... not seen on a CXR ... #Lung #Pulmonary
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Flail Chest Breathing ... Four rib fractures ... each additional rib ... with multiple rib ... fractures missed by CXR
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Flail Chest Breathing ... Four rib fractures ... each additional rib ... with multiple rib ... fractures missed by CXR
Pertinent Chest x-ray Findings in the Trauma Patient and Implications
Respiratory distress without x-ray findings - Central
asphyxia Any rib ... of first three ribs ... Fracture of lower ribs ... injury Two or more rib ... abdominal viscus #cxr
Chest X-Ray Interpretation Checklist
Outline ALL bones
Check soft tissues
Assess heart borders
Is density, behind the heart the same
Chest X-Ray Interpretation ... tumour, cervical rib ... Check lung periphery ... radiologistpage #Chest ... #XRay #CXR #Interpretation
Lung Segment Anatomy Annotated on Chest CT
Right Lung:
 • Upper Lobe: Apical, Posterior, Anterior
 • Middle
Annotated on Chest ... CT Right Lung: ... Lung: • Upper ... lobes #Segments #Chest ... #CT #CTChest #pulmonary
Chest Tube Placement Checklist
PREPARATION
 o Consent
 o Position Patient
 o Monitoring
 o Time Out
 o Review
Chest Tube Placement ... Meds o Review Cxr ... tissue and down to rib ... Dissect above one rib ... ensure that the lung
ED Thoracotomy Instructions

Getting Into the Chest:
1. Bilateral finger thoracotomies
  • 4th or 5th intercostal space
• Curve along rib ... Open chest with ... rib spreaders ... bleeding vessels, lung ... Run hand along ribs
The second most common chest wall abnormalities that we see on a CXR are metastases in
second most common chest ... that we see on a CXR ... vertebral bodies and ribs ... the posterior rib ... Clinical #Radiology #CXR
Chest Injury Score for Blunt Chest Wall Trauma
Age - 1 - Per additional 10-year increase starting
Chest Injury Score ... for Blunt Chest ... age Number of rib ... Per additional rib ... fracture Chronic lung