8 results
Serratus Anterior Plane (SAP) Nerve Block for Ribs on POCUS 

62M with severe chest wall abrasions,
Nerve Block for Ribs ... with severe chest ... abrasions, clavicle, rib ... #SAP #Ribs #NerveBlock ... #POCUS #ultrasound
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 ... rib spreaders ... Run hand along ribs
Rib Fracture on POCUS

Instead of poorly-sensitive and time-consuming chest xray for rib fracture, instead just “Point
Rib Fracture on ... time-consuming chest ... xray for rib fracture ... @SAlerhand #Rib ... #ultrasound #msk
Surgical Chest Tube for Unstable Pneumothorax or Hemothorax
PREPARE
 • Landmark: Anterior Axillary Line, 4th or 5th
Surgical Chest Tube ... , then down to rib ... dissect down to rib ... Feel superior of rib ... Kellys: Guide over rib
Traumatic Cardiac Arrest: ED Thoracotomy Instructions
1. CALL FOR HELP.
2. GATHER SUPPLIES.
   +/- Sterile gloves,
GET INTO CHEST. ... 4th ICS, along rib ... INSIDE THE CHEST ... #procedure #emergency ... #trauma #checklist
Rib Subluxation on Point of Care Ultrasound (POCUS)

60ish yo patient presents with left sided CP, SOB,
Rib Subluxation ... sided CP, SOB, rib ... CXR and CTA Chest ... ChrisKumetz #Rib ... #Clinical #MSK
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Rib Fractures Rib ... diagnosed with rib ... “seeing” each rib ... wall, a chest x-ray ... injury, 50% of rib
Rib fractures on POCUS 
1. look for a discontinuity at the site of pain and tenderness
Rib fractures on ... are wasted on rib ... If looking for rib ... axis with the rib ... course based on chest