10 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 ... pattern in the chest ... abdominal viscus #cxr
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 ... fractures missed by CXR ... also pulmonary contusion ... rob_cosentini #Flail #Chest
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 ... fractures missed by CXR ... also pulmonary contusion ... rob_cosentini #Flail #Chest
Chest Trauma Complications - Differential Diagnosis Algorithm
Cardiac:
 • Cardiac Tamponade*
 • Pericarditis
 • Myocardial Contusion
 •
Chest Trauma Complications ... Aortic Rupture* Chest ... Wall: • Rib Fractures ... • Flail Chest ... Hemothorax #Chest
Thoracic Trauma - Lethal 6 and Hidden 6 of Thoracic Trauma
The Lethal 6 of Thoracic Trauma:
Hemothorax • Cardiac ... Tamponade • Flail Chest ... • Pulmonary Contusions ... • Blunt Cardiac ... #diagnosis #management
Rib Subluxation on Point of Care Ultrasound (POCUS)

60ish yo patient presents with left sided CP, SOB,
Rib Subluxation ... Care Ultrasound (POCUS ... No hx of trauma. ... CXR and CTA Chest ... #Subluxation #POCUS
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 ... x-ray (CXR), try ... not seen on a CXR ... Pulmonary Contusion
Rib fractures on POCUS 
1. look for a discontinuity at the site of pain and tenderness
POCUS 1. look ... US beats CXR on ... Most CXR are wasted ... course based on chest ... #ultrasound #trauma
Post-Arrest Liver Laceration on POCUS
Liver laceration can occur secondarily to chest compressions. Delays in detecting post-arrest
Laceration on POCUS ... secondarily to chest ... biased towards cardiac ... Liver #Laceration #cpr ... #trauma #ultrasound
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
Diagnosis and Management ... /Symptoms: • Confusion ... • Pleuritic chest ... Uremia (blood urea ... infiltrate by chest