10 results
Pertinent Chest x-ray Findings in the Trauma Patient and Implications
Respiratory distress without x-ray findings - Central
Findings in the Trauma ... asphyxia Any rib ... fracture - Pneumothorax ... Persistent large pneumothorax ... cxr #chestxray #trauma
Chest Injury Score for Blunt Chest Wall Trauma
Age - 1 - Per additional 10-year increase starting
Wall Trauma Age ... age Number of rib ... fractures - 3 - ... Per additional rib ... lung disease -
Chest X-Ray Interpretation Checklist
Outline ALL bones
Check soft tissues
Assess heart borders
Is density, behind the heart the same
Checklist Outline ... Check apices for pneumothorax ... tumour, cervical rib ... Check lung periphery ... Interpretation #Checklist
Chest Trauma Complications - Differential Diagnosis Algorithm
Cardiac:
 • Cardiac Tamponade*
 • Pericarditis
 • Myocardial Contusion
 •
Chest Trauma Complications ... Wall: • Rib Fractures ... Esophageal Injury Lung ... Contusion • Pneumothorax ... #Trauma #Complications
Rib Subluxation on Point of Care Ultrasound (POCUS)

60ish yo patient presents with left sided CP, SOB,
Point of Care Ultrasound ... No hx of trauma. ... CXR and CTA Chest ... negative for pneumothorax ... , PNA, rib fractures
ED Thoracotomy Instructions

Getting Into the Chest:
1. Bilateral finger thoracotomies
  • 4th or 5th intercostal space
• Curve along rib ... rib spreaders ... bleeding vessels, lung ... procedure #emergency #trauma ... #checklist #thoracic
Beyond the classic trauma patient during your E-Fast Exam, who else does the Sono-Pros scan?
- Primary
Beyond the classic trauma ... in penetrating trauma ... or blunt trauma ... with broken ribs ... #ultrasound #diagnosis
Traumatic Cardiac Arrest: ED Thoracotomy Instructions
1. CALL FOR HELP.
2. GATHER SUPPLIES.
   +/- Sterile gloves,
4th ICS, along rib ... to protect the lung ... : Sternal saw, trauma ... procedure #emergency #trauma ... #checklist #thoracic
Rib fractures on POCUS 
1. look for a discontinuity at the site of pain and tenderness
Rib fractures on ... course based on chest ... #Rib #fracture # ... POCUS #clinical #ultrasound ... #trauma
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
suffered no head trauma ... Rib Fractures Rib ... with rib fractures ... fracture on a chest ... #Lung #Pulmonary