Ribs chest trauma - GrepMed

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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

Trauma - Paradoxical Breathing in Flail Chest
It occurs when multiple adjacent ribs are broken in

Trauma - Paradoxical ... Breathing in Flail Chest ... multiple adjacent ribs ... a part of the chest ... Breathing #Pattern #Trauma

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

Flail Chest Breathing ... shows a flail chest ... missed by non-trauma ... rob_cosentini #Flail #Chest ... clinical #video #trauma

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

Flail Chest Breathing ... shows a flail chest ... missed by non-trauma ... rob_cosentini #Flail #Chest ... clinical #video #trauma

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 ... procedure #emergency #trauma

$Flail Chest on Physical Exam after blunt trauma with multiple rib fractures #Flail #Chest #respiratory #breathing #physicalexam$

Flail Chest on Physical ... Exam after blunt trauma ... with multiple rib ... fractures #Flail #Chest ... clinical #video #trauma

Chest Injury Score for Blunt Chest Wall Trauma
Age - 1 - Per additional 10-year increase starting

for Blunt Chest ... Wall Trauma Age ... age Number of rib ... Per additional rib ... #Score #Blunt #Trauma

Chest Trauma Complications - Differential Diagnosis Algorithm
Cardiac:
• Cardiac Tamponade*
• Pericarditis
• Myocardial Contusion
•

Chest Trauma Complications ... Aortic Rupture* Chest ... Wall: • Rib Fractures ... • Flail Chest ... #Trauma #Complications

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. ... CXR and CTA Chest ... ChrisKumetz #Rib

Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)

suffered no head trauma ... arise from blunt trauma ... Rib Fractures Rib ... trauma are diagnosed ... “seeing” each rib

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