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Blunt Chest Trauma - Dr. Colucciello

1/8/2015

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Picture
The “Chest” exam should include:

               - Assessment of neck veins

               - Search for paradoxical movement (flail)

               - Respiratory distress

               - Palpation for fractures

               - Assessment for unequal breath sounds or decreased vocal fremitus

Needle decompression in the field for presumed tension pneumothorax is indicated when hypotension is present.

Two most important studies in the first several minutes of evaluation are CXR and FAST Exam (to include a search for pleural sliding).

Up to 15% of patients with thoracic aortic injuries have a normal CXR.

The treatment of traumatic aortic injury may include control of heart rate and blood pressure prior to transfer.
 
Multiple rib fracture in the elderly trauma victim often requires admission to the ICU.


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  • RESIDENCY
    • About CMC
    • Curriculum
    • Benefits
    • Explore Charlotte
    • Official Site
  • FELLOWSHIP
    • Global EM
    • Toxicology
    • (All Others)
  • PEOPLE
    • Program Leadership
    • PGY-3
    • PGY-2
    • PGY-1
    • MATCH 2022
    • Alumni
  • STUDENTS/APPLICANTS
    • Prospective Visiting Students
    • Healthcare Disparities Externship
    • UNC/Wake Forest Students
  • #FOAMed
    • EM GuideWire
    • CMC Imaging Mastery
    • Pediatric EM Morsels
    • Blogs, etc. >
      • CMC ECG Masters
      • Core Concepts
      • Cardiology Blog
      • Dr. Patel's Coding Blog
      • Global Health Blog
      • Ortho Blog
      • Pediatric Emergency Medicine
      • Tox Blog
  • Chiefs Corner
    • Top 20
    • Current Chiefs
    • Schedules >
      • Conference/Flashpoint
      • Block Schedule
      • ED Shift Schedule
      • AEC Moonlighting
      • Journal Club/OBP/Audits Schedule
      • Simulation
    • Resources >
      • Fox Reference Library
      • FlashPoint
      • Airway Lecture
      • Student Resources
      • PGY - 1
      • PGY - 2
      • PGY - 3
      • Simulation Reading
      • Resident Wellness
      • Resident Research
      • Resume Builder
    • Individualized Interactive Instruction
    • Evaluations/Interview Season