10 results
Assessment of Chest Tube Drains
Stepwise assessment of Chest Tube Function
TUBE POSITIONING
 • Look at the CXR:
• Look at the CXR ... since a prior CXR ... there been in the last ... ) indicates an injury ... either a large injury
Positive FAST exam at the caudal liver edge

Ultrasound isn't as sensitive for solid organ injury, but
for solid organ injury ... Injury to spleen ... Most Sensitive Area ... #positive #trauma ... #clinical #POCUS
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
Lung Hernia (Sibson Hernia) on physical exam due to a traumatic chest injury.

Sibson Hernia is a
to a traumatic chest ... injury. ... is noted after chest ... Hernia #Sibson #clinical ... #video #thoracic
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 ... #Laceration #cpr ... #POCUS #clinical ... #trauma #ultrasound
Gunshot Wound on Hepatic Ultrasound
Note the echogenic foci (orange arrow) adjacent to the hepatic vein with
Patient had shotgun injury ... to left chest with ... left anterior chest ... #Gunshot #GSW #Liver ... Hemopericardium #RUQ #Clinical
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
This patient’s clinical ... exam findings and clinical ... x-ray (CXR), try ... not seen on a CXR ... bleeding often from a liver
Toaster Electrocution Electrical Injury
Primary determination of injury extent = amount of CURRENT flowing through body.
VARIABLES: voltage,
may result in trauma ... those in cardiac/respiratory ... Persistent chest ... do NOT recreate video ... #clinical #video
Resuscitative Thoracotomy
NOTE: this video is NOT standard technique.
Aka "cracking the chest". A potentially life saving technique
"cracking the chest ... Decompressing the chest ... decompress the chest ... tamponade -cardiac injury ... #video #trauma
Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
re-exams (normal CXR ... injuries to spleen, liver ... abdominal exams, FASTs ... #Injury #clinical ... #video