- The “Chest” exam should include:
Assessment of neck veins
Search for paradoxical movement (flail)
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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Department of Emergency Medicine
Medical Education Building., Third floor
1000 Blythe Blvd.
Charlotte, NC 28203