15 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 ... fractures missed by CXR ... rob_cosentini #Flail #Chest ... #PhysicalExam #clinical
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 ... rob_cosentini #Flail #Chest ... #PhysicalExam #clinical
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 ... #Subluxation #POCUS ... #Clinical #MSK
Chest Tube Placement Checklist
PREPARATION
 o Consent
 o Position Patient
 o Monitoring
 o Time Out
 o Review
Chest Tube Placement ... Meds o Review Cxr ... EQUIPMENT o Chest ... Tube Tray o Chest ... Feel inside the chest
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
pneumonia On the chest ... an ill-defined area ... is in a normal position ... In the proper clinical ... #CXR #AirBronchogram
Rib fractures on POCUS 
1. look for a discontinuity at the site of pain and tenderness
US beats CXR on ... Most CXR are wasted ... course based on chest ... POCUS #clinical ... #ultrasound #trauma
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Pertinent positives ... This patient’s clinical ... exam findings and clinical ... x-ray (CXR), try ... not seen on a CXR
The chest tube is in good position, but the stomach is not! The reason your patient
The chest tube is ... in good position ... respond to the chest ... stomach in the chest ... #Clinical #EM #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
Subcutaneous emphysema on Chest XRay

Etiologies:   Pneumothorax (spontaneous or traumatic), trauma (tracheobronchial injury, barotrauma), esophageal
Subcutaneous emphysema on Chest ... or traumatic), trauma ... inhalation Management ... emphysema #ChestXRay #CXR ... #Clinical #Radiology