10 results
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Flail Chest Breathing ... missed by non-trauma ... fractures missed by CXR ... , so use CT to identify ... #clinical #video
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Flail Chest Breathing ... missed by non-trauma ... fractures missed by CXR ... , so use CT to identify ... #clinical #video
Trauma - Paradoxical Breathing in Flail Chest 
It occurs when multiple adjacent ribs are broken in
Trauma - Paradoxical ... Breathing in Flail ... multiple adjacent ribs ... separating a segment, so ... #Clinical #PhysicalExam
Rib Subluxation on Point of Care Ultrasound (POCUS)

60ish yo patient presents with left sided CP, SOB,
Point of Care Ultrasound ... left sided CP, SOB ... No hx of trauma. ... CXR and CTA Chest ... Subluxation #POCUS #Clinical
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
Gastric Rupture on Positive RUQ FAST Exam

Bike vs Car.  Bicyclist hits anterior torso on mailbox.
Exam Bike vs Car ... Exam #Positive #Abdominal ... #POCUS #clinical ... #ultrasound #Liver ... #Trauma
Esophageal Rupture with Gastric Contents seen on Lung Ultrasound
Middle aged patient with oesophageal Ca presents generally
Contents seen on Lung Ultrasound ... becomes suddenly SOB ... Patient had CXR ... contents in chest ... #POCUS #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 ... consider intra-abdominal
Small Bowel Obstruction and Ascites on POCUS

This patient drove to the ED complaining of 2 hours
hemoperitoneum from trauma—every ... the ED), c/w an SBO ... Labeled Schematic ... Ascites #POCUS #Abdominal ... #clinical #ultrasound
Post-Arrest Liver Laceration on POCUS
Liver laceration can occur secondarily to chest compressions. Delays in detecting post-arrest
secondarily to chest ... post-arrest intra-abdominal ... Liver #Laceration #cpr ... #POCUS #clinical ... #trauma #ultrasound