10 results
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Flail Chest Breathing ... a flail chest, initially ... fractures missed by CXR ... #PhysicalExam #clinical ... #video #trauma
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Flail Chest Breathing ... a flail chest, initially ... fractures missed by CXR ... #PhysicalExam #clinical ... #video #trauma
Absent Lung Sliding in Pneumothorax on Lung POCUS

24yo F pleuritic chest pain.  No history of
Absent Lung Sliding ... 24yo F pleuritic chest ... No history of trauma ... What’s the diagnosis ... #clinical
Pertinent Chest x-ray Findings in the Trauma Patient and Implications
Respiratory distress without x-ray findings - Central
Findings in the Trauma ... more places - Flail ... abdominal viscus #cxr ... #chestxray #trauma ... #diagnosis #signs
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Pulmonary Embolism, Pneumothorax ... edema), Lung Exam, POCUS ... (B-lines, lung sliding ... Troponin), ABG, STAT CXR ... , CTA Chest, Echocardiogram
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 ... Check the DRAINAGE area ... CHEST TUBE SIZING ... ChestTube #Drains #Diagnosis
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 ... negative for pneumothorax ... #Clinical #MSK
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
cardiothoracic surgery, trauma ... indicated, start CPR ... exclude tension pneumothorax ... • Diagnostic ... 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 ... diagnosis; the ... course based on chest ... #trauma
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 ... trauma are diagnosed ... x-ray (CXR), try ... not seen on a CXR