10 results
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
missed by non-trauma ... fractures missed by CXR ... , so use CT to identify ... #Breathing #PhysicalExam ... #clinical #video
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
missed by non-trauma ... fractures missed by CXR ... , so use CT to identify ... #Breathing #PhysicalExam ... #clinical #video
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 ... #Laceration #cpr ... #POCUS #clinical ... #trauma #ultrasound
Gastric Rupture on Positive RUQ FAST Exam

Bike vs Car.  Bicyclist hits anterior torso on mailbox.
Gastric Rupture on Positive ... Exam Bike vs Car ... #Abdominal #POCUS ... #clinical #ultrasound ... #Liver #Trauma
Rib Subluxation on Point of Care Ultrasound (POCUS)

60ish yo patient presents with left sided CP, SOB,
Care Ultrasound (POCUS ... , SOB, rib splinting ... No hx of trauma. ... CXR and CTA Chest ... #Clinical #MSK
Pulmonary Contusion on Lung POCUS

A 20yo M presents after high speed MVA. BP 140/80, HR 95,
which is the best management ... hours later on cxr ... supportive care Labeled ... #BLines #clinical ... #ultrasound #trauma
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Rhabdomyolysis: • Trauma ... Dermatomyositis Clinical ... Tachycardia - N/V - Abdominal ... ) • AKI: BUN/Cr ... Myoglobinuria: UA positive
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... venous pressure, positive ... Chest x-ray: signs ... → no signs of CXR ... heartfailure #diagnosis #management
Subcutaneous emphysema on Chest XRay

Etiologies:   Pneumothorax (spontaneous or traumatic), trauma (tracheobronchial injury, barotrauma), esophageal
Subcutaneous emphysema on Chest ... or traumatic), trauma ... inhalation Management ... emphysema #ChestXRay #CXR ... #Clinical #Radiology
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Pertinent positives ... x-ray (CXR), try ... not seen on a CXR ... consider intra-abdominal ... bleeding often from a liver