13 results
Pertinent Chest x-ray Findings in the Trauma Patient and Implications
Respiratory distress without x-ray findings - Central
Pertinent Chest ... places - Flail chest ... air leak after chest ... abdominal viscus #cxr ... #diagnosis #signs
Thoracic Trauma - Lethal 6 and Hidden 6 of Thoracic Trauma
The Lethal 6 of Thoracic Trauma:
Hemothorax • Cardiac ... Tamponade • Flail ... Chest The Hidden ... Contusions • Blunt Cardiac ... #diagnosis #management
Chest Trauma Complications - Differential Diagnosis Algorithm
Cardiac:
 • Cardiac Tamponade*
 • Pericarditis
 • Myocardial Contusion
 •
Chest Trauma Complications ... : • Cardiac Tamponade ... Aortic Rupture* Chest ... Wall: • Rib Fractures ... • Flail Chest
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... Pulmonary embolism • Cardiac ... tamponade • Esophageal ... ultrasound • CXR ... MatthewHoMD #Chest
Hemorrhagic Pericardial Effusion with Tamponade on POCUS

In an unstable pt w/ chest trauma, subxiphoid view FIRST!

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Effusion with Tamponade ... on POCUS In ... unstable pt w/ chest ... trauma, subxiphoid ... #Cardiac #POCUS
Rib Subluxation on Point of Care Ultrasound (POCUS)

60ish yo patient presents with left sided CP, SOB,
Care Ultrasound (POCUS ... No hx of trauma. ... CXR and CTA Chest ... pneumothorax, PNA, rib fractures ... #Subluxation #POCUS
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... cardiothoracic surgery, trauma ... indicated, start CPR ... • Diagnostic ... critical care area
Rib fractures on POCUS 
1. look for a discontinuity at the site of pain and tenderness
US beats CXR on ... Most CXR are wasted ... beyond a clinical diagnosis ... course based on chest ... #ultrasound #trauma
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
Binder) • Use POCUS ... • Decompress chest ... thoracostomy, chest ... tube • Consider chest ... source: Head/scalp, Chest
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
suffered no head trauma ... This post will focus ... trauma are diagnosed ... (CXR), try rotating ... not seen on a CXR