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Pertinent Chest x-ray Findings in the Trauma Patient and Implications
Respiratory distress without x-ray findings - Central
asphyxia Any rib ... Pneumothorax, pulmonary ... , pulmonary contusion ... vessel injury, pulmonary ... chestxray #trauma #diagnosis
Chest Trauma Complications - Differential Diagnosis Algorithm
Cardiac:
 • Cardiac Tamponade*
 • Pericarditis
 • Myocardial Contusion
 •
- Differential Diagnosis ... Wall: • Rib Fractures ... • Flail Chest ... Injury Lung: • Pulmonary ... #Differential #Diagnosis
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 ... radiologistpage #Chest ... Checklist #radiology #diagnosis ... #pulmonary
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Several of the diagnoses ... non-threatening pulmonary ... considering the diagnosis ... trauma are diagnosed ... Pulmonary Contusion
Flail Chest on Physical Exam
Flail chest after 3 or more ribs are broken in 2 areas
Flail Chest on Physical ... Exam Flail chest ... after 3 or more ribs ... paradoxical motion of a chest ... clinical #video #Pulmonary
Trauma - Paradoxical Breathing in Flail Chest 
It occurs when multiple adjacent ribs are broken in
Breathing in Flail Chest ... multiple adjacent ribs ... a part of the chest ... EkremMusalar #Flail #Chest ... #PhysicalExam #Pulmonary
Flail Chest on Physical Exam
Flail chest occurs when 3 or more ribs are broken in at
Flail Chest on Physical ... Exam Flail chest ... when 3 or more ribs ... paradoxical motion of a chest ... clinical #video #Pulmonary
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Flail Chest Breathing ... shows a flail chest ... identify also pulmonary ... rob_cosentini #Flail #Chest ... video #trauma #pulmonary
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Flail Chest Breathing ... shows a flail chest ... identify also pulmonary ... rob_cosentini #Flail #Chest ... video #trauma #pulmonary
ED Thoracotomy Instructions

Getting Into the Chest:
1. Bilateral finger thoracotomies
  • 4th or 5th intercostal space
Getting Into the Chest ... • Curve along rib ... Open chest with ... rib spreaders ... Inside the Chest