11 results
Pertinent Chest x-ray Findings in the Trauma Patient and Implications
Respiratory distress without x-ray findings - Central
Findings in the Trauma ... fracture - Pneumothorax ... Persistent large pneumothorax ... abdominal viscus #cxr ... #chestxray #trauma
Suspicious Fractures for Abuse - Non-accidental Trauma

Metaphyseal fracture (Bucket handle fracture or Corner fracture) 
 •
Non-accidental Trauma ... non-accidental trauma ... Rib fracture ... with CPR (not posterior ... • Multiple bones
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
Chest X-Ray Interpretation Checklist
Outline ALL bones
Check soft tissues
Assess heart borders
Is density, behind the heart the same
Checklist Outline ALL bones ... Check apices for pneumothorax ... tumour, cervical rib ... Check lung periphery ... #Chest #XRay #CXR
Rib fractures on POCUS 
1. look for a discontinuity at the site of pain and tenderness
Rib fractures on ... on long axis with ... #Rib #fracture # ... POCUS #clinical #ultrasound ... #trauma
Chest Trauma Complications - Differential Diagnosis Algorithm
Cardiac:
 • Cardiac Tamponade*
 • Pericarditis
 • Myocardial Contusion
 •
Chest Trauma Complications ... Chest Wall: • Rib ... Fractures • Flail ... Esophageal Injury Lung ... Contusion • Pneumothorax
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
Subcutaneous Emphysema vs Pneumothorax on POCUS
Don't mistake for PTX -> Find ribs to confirm pleural line
Subcutaneous Emphysema vs Pneumothorax ... for PTX -> Find ribs ... confirm pleural line ... Emphysema #comparison #ultrasound ... #lung #pneumothorax
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
suffered no head trauma ... Rib Fractures Rib ... x-ray (CXR), try ... seen on a CXR.2 ... Radiology #CTChest #Lung
Pulmonary Contusion on Lung POCUS

A 20yo M presents after high speed MVA. BP 140/80, HR 95,
Pulmonary Contusion on Lung ... hours later on cxr ... #POCUS #BLines ... #clinical #ultrasound ... #trauma