36 results
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 ... fractures missed by CXR ... 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 ... fractures missed by CXR ... clinical #video #trauma
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 ... abdominal viscus #cxr ... #chestxray #trauma
Chest Injury Score for Blunt Chest Wall Trauma
Age - 1 - Per additional 10-year increase starting
Wall Trauma Age ... age Number of rib ... Per additional rib ... fracture Chronic lung ... #Score #Blunt #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 ... bleeding vessels, lung ... procedure #emergency #trauma
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
Chest X-Ray Interpretation Checklist
Outline ALL bones
Check soft tissues
Assess heart borders
Is density, behind the heart the same
Chest X-Ray Interpretation ... tumour, cervical rib ... Check lung periphery ... radiologistpage #Chest ... #XRay #CXR #Interpretation
Chest Tube Placement Checklist
PREPARATION
 o Consent
 o Position Patient
 o Monitoring
 o Time Out
 o Review
Chest Tube Placement ... Meds o Review Cxr ... tissue and down to rib ... Dissect above one rib ... ensure that the lung
Hemothorax on Lung POCUS with Spine Sign

GSW to left chest.  Perisplenic window focusing on lower
POCUS with Spine ... GSW to left chest ... focusing on lower chest ... large sub-pleural area ... #POCUS #Spine #
Pneumonia on Chest Xray and POCUS

Extensive pneumonia in lower left lobe (red arrow). 
POCUS: Dynamic air
Pneumonia on Chest ... Xray and POCUS ... POCUS: Dynamic air ... #CXR #Comparison ... #Clinical #Lung