681 results
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Four rib fractures ... missed by non-trauma ... each additional rib ... with multiple rib ... clinical #video #trauma
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Four rib fractures ... missed by non-trauma ... each additional rib ... with multiple rib ... clinical #video #trauma
Diagnosed my own rib fracture! Point of Care Ultrasound (POCUS)

Dr. J. Christian Fox @jchristianfox

#Rib #Fracture #POCUS
Diagnosed my own rib ... jchristianfox #Rib ... ultrasound #clinical #Trauma
Rib Subluxation on Point of Care Ultrasound (POCUS)

60ish yo patient presents with left sided CP, SOB,
Rib Subluxation ... sided CP, SOB, rib ... No hx of trauma. ... pneumothorax, PNA, rib ... ChrisKumetz #Rib
Chest Injury Score for Blunt Chest Wall Trauma
Age - 1 - Per additional 10-year increase starting
Blunt Chest Wall Trauma ... age Number of rib ... Per additional rib ... #Score #Blunt #Trauma
Flail Chest on Physical Exam after blunt trauma with multiple rib fractures

#Flail #Chest #respiratory #breathing #physicalexam
Exam after blunt trauma ... with multiple rib ... clinical #video #trauma
Suspicious Fractures for Abuse - Non-accidental Trauma

Metaphyseal fracture (Bucket handle fracture or Corner fracture) 
 •
Non-accidental Trauma ... non-accidental trauma ... Rib fracture ... • Posterior ribs ... • Anterior rib
Pertinent Chest x-ray Findings in the Trauma Patient and Implications
Respiratory distress without x-ray findings - Central
Findings in the Trauma ... asphyxia Any rib ... of first three ribs ... Fracture of lower ribs ... cxr #chestxray #trauma
Chest Trauma Complications - Differential Diagnosis Algorithm
Cardiac:
 • Cardiac Tamponade*
 • Pericarditis
 • Myocardial Contusion
 •
Chest Trauma Complications ... Chest Wall: • Rib ... Hemothorax #Chest #Trauma
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 ... procedure #emergency #trauma