15 results
Trauma - Paradoxical Breathing in Flail Chest 
It occurs when multiple adjacent ribs are broken in
- Paradoxical Breathing ... multiple adjacent ribs ... #Flail #Chest #Breathing ... Trauma #Video #Clinical ... PhysicalExam #Pulmonary #Respiratory
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 ... PhysicalExam #Video #Clinical ... #Breathing #Paradoxical ... #Respiratory
Flail Chest on Physical Exam
Flail chest after 3 or more ribs are broken in 2 areas
after 3 or more ribs ... #PhysicalExam #Breathing ... #respiratory #clinical
Serratus Anterior Plane (SAP) Nerve Block for Ribs on POCUS 

62M with severe chest wall abrasions,
Serratus Anterior ... UAB Emergency Ultrasound ... @UAB_Sono #Serratus ... NerveBlock #POCUS #ultrasound ... #clinical
Paradoxical Respirations in Diaphragmatic Paralysis

Note the paradoxical movement of the abdomen during inspiration. The accessory inspiratory
The accessory inspiratory ... contract, raising the rib ... #Respirations #Breathing ... #Diaphragm #Clinical ... PhysicalExam #Pulmonary #Respiratory
Hoover's sign on Physical Exam
Paradoxical retraction of the lower intercostal spaces on inspiration
Pulmonary hyperinflation → flattening
this occurs, the inspiratory ... diameter of the lower rib ... #PhysicalExam #Clinical ... #Video #Breathing ... #Respiratory #pulmonary
Flail Chest on Physical Exam
Flail chest occurs when 3 or more ribs are broken in at
when 3 or more ribs ... #PhysicalExam #Breathing ... #respiratory #clinical
Flail Chest- Check out the paradoxical chest wall movement 
Typical management: opiates for analgesia, intubation due
Alternative: Serratus ... #Flail #Chest #Breathing ... Trauma #Video #Clinical ... PhysicalExam #Pulmonary #Respiratory
Serratus Anterior Plane (SAP) Nerve Block for Ribs on POCUS 

Ribs 2-10 fractured -> POCUS guided
Serratus Anterior ... on POCUS Ribs ... NerveBlock #POCUS #ultrasound ... #clinical (editor's ... out-of-plane, but the ultrasound
Landmarks for Serratus Anterior Plane Block (SAPB) on POCUS
Pain related to rib fractures can be difficult
Landmarks for Serratus ... Pain related to rib ... Ultrasound guided ... anterolateral rib ... #SAPB #POCUS #clinical