The notification phone rings: “Cardiac arrest, intubated, ETA 3 minutes.” Take a breath. You look around and notice you have a loaded team! EMS rolls in and moves that patient to the stretcher. Your awesome nurses get IV access on the first try while you promptly assemble the LUCAS device Read more…
Case: EMS brings in a 26-year-old male who reports he was stabbed in the back. He is speaking short phrases and complaining of a lot of pain on his right chest. Primary Survey: Airway intact, tachypnea with equal breath sounds bilaterally, strong pulses in all 4 extremities; GCS 15; small Read more…
It’s another day at your local university hospital. You’re nearing the end of your shift and wrapping up your cases. Your mind is already starting to wander with thoughts of what you’ll do on vacation. Suddenly, you hear some commotion stir through the ED — TRAUMA CODE to the hospital Read more…
Last month we discussed the use of needle aspiration as an alternative to placing a traditional large-bore chest tube in patients with spontaneous pneumothoraces. One of the selling points of using these less invasive methods is that they decrease the amount of time these patients spend in the hospital. In fact, Read more…
Check out the original post here: Xray Vision: Chest Pain Congratulations Dr. Grundmann! This patient has a primary spontaneous pneumothorax. References: Humphries RL, Young W, Jr.. Chapter 71. Spontaneous and Iatrogenic Pneumothorax. In: Tintinalli JE, Stapczynski J, Ma O, Cline DM, Cydulka RK, Meckler GD, T. eds. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 7e. New York, NY: McGraw-Hill; Read more…
Back from the Thanksgiving Holiday with another edition of Morning Report! Here’s Dr. Kazzi with today’s topic: Pneumothorax / Hemothorax : (EMPGU 2012) Definition = Air in the pleural cavity Types: 1) Spontaneous – Primary (no underlying lung disease) – Secondary (Underlying lung disease) 2) Traumatic Classification: Occult: Not seen on Read more…
Thanks to Dr. Nadir for today’s Morning Report (originally presented on 4/20/2012)! 76 year old male with hx of emphysema presents with slowly progressive SOB, over the last 10 days. VS: HR 110, RR 28, O2 sats 93%, BP 110/76. Exam reveals decreased BS over the left lung field. US and Read more…