16 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
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 ... #SAPB #POCUS #clinical ... #pain #local #anatomy
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