12 results
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
The video shows ... missed by non-trauma ... 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.
The video shows ... missed by non-trauma ... fractures missed by CXR ... #PhysicalExam #clinical ... #video #trauma
Rib Subluxation on Point of Care Ultrasound (POCUS)

60ish yo patient presents with left sided CP, SOB,
Point of Care Ultrasound ... (POCUS) 60ish ... No hx of trauma. ... CXR and CTA Chest ... #Clinical #MSK
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
Post-Arrest Liver Laceration on POCUS
Liver laceration can occur secondarily to chest compressions. Delays in detecting post-arrest
secondarily to chest ... biased towards cardiac ... Liver #Laceration #cpr ... #POCUS #clinical ... #trauma #ultrasound
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Acute Respiratory ... Syndrome – ARDS: Clinical ... Cheat Sheet ... detected on CT or CXR ... cause such as trauma
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... cardiothoracic surgery, trauma ... indicated, start CPR ... Plan definitive management ... care area.
Pericardial Effusion seen during CPR on POCUS Echocardiogram

This patient was given an anesthetic and became unresponsive
Effusion seen during CPR ... best choice for management ... arrest with ongoing CPR ... Pericardial #Effusion #CPR ... #clinical #ultrasound
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
Diagnosis and Management ... • Pleuritic chest ... Uremia (blood urea ... infiltrate by chest ... Yield of blood CX
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 ... This post will focus ... x-ray (CXR), try ... not seen on a CXR