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emergency instructions procedure thoracotomy clinical diagnosis evaluation fracture perioperative preop preoperative risk sternal sternum stratification ultrasound
Traumatic Cardiac Arrest: ED Thoracotomy Instructions 1. CALL FOR HELP. 2. GATHER SUPPLIES. +/- Sterile gloves,
Thoracotomy Tray ... GET INTO CHEST. ... to protect the lung ... Massage Cross-Clamp Aorta ... #checklist #thoracic
ED Thoracotomy Instructions Getting Into the Chest: 1. Bilateral finger thoracotomies • 4th or 5th intercostal space
bleeding vessels, lung ... Compress aorta ... ribs until feel aorta ... procedure #emergency #trauma ... #checklist #thoracic
Sternal fracture on POCUS. 60 year old PT, fell on her chest 4 days ago, tender
4 days ago, tender ... central mid chest ... of pericardial effusion ... #ultrasound #msk ... #trauma
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 Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
risk (>5%): - Aortic ... change CV risk Chest ... X-ray: • Not ... unless prior heart/lung ... upper abdominal/thoracic
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