Rib management - GrepMed

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Another approach called the Pleural Avoidance with Rib Trajectory (PART) technique targets the axillary vein at

Avoidance with Rib ... over the second rib ... provides a protective rib ... method (6) #Management ... Pleural #Avoidance #Rib

POCUS - Regional Anesthesia - Trauma Local Nerve Block

- Ribs
- Serratus
- Fascia Iliaca

Nerve Block - Ribs ... Popliteal Sciatic #Management ... POCUS #Ultrasound #Ribs

Chest Tube Placement Checklist
PREPARATION
o Consent
o Position Patient
o Monitoring
o Time Out
o Review

tissue and down to rib ... Dissect above one rib ... Checklist #Procedure #Management

Pericardiocentesis
Most Common Approach: Subxiphoid
Equipment: could be as simple as large bore LP needle with syringe OR

until you hit the rib ... needle underneath rib ... #instructions #management

Rib Cage and Sternal Anatomy

By @rev.med

#Rib #Cage #Anatomy #Ribs #Sternum #Bones

Rib Cage and Sternal ... By @rev.med #Rib ... Cage #Anatomy #Ribs

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

Hoover's Sign

Hoover’s sign refers to inward movement of the lower rib cage during inspiration- instead of

movement of the lower rib ... pulling the inferior ribs

ED Thoracotomy Instructions

Getting Into the Chest:
1. Bilateral finger thoracotomies
• 4th or 5th intercostal space

• Curve along rib ... Open chest with rib ... Run hand along ribs

Rib Fracture on POCUS

There is an interruption in the continuity of this bone (rib), indicated by

Rib Fracture on ... of this bone (rib ... in diagnosing rib ... Herbst @EUSmkh #Rib

$Flail Chest Breathing on Physical Exam 74 year-old male, fallen over in the garden. Four rib fractures.$

Four rib fractures ... each additional rib ... with multiple rib ... injuries 3. 50% of rib

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