Hemothorax

Question 1

Essential Dx for a hemothorax

Answer 1

Decreased breath sounds
Dullness to percussion ( affected side)
Respiratory distress
Hypotension

Question 2

MOI leading to a hemothorax

Answer 2

Injury to chest wall, great vessels, or lung

Question 3

Hemothorax is secondary to?

Answer 3

Penetrating injury disrupting pulmonary or systemic blood vessels

Question 4

In great vessel injuries what percentage die immediately?

Answer 4

50%

Question 5

25% live for either?

Answer 5

5-10 minutes

30 minutes or longer

Question 6

Physical findings

Answer 6

Respiratory distress
Tachypnea
Variable degrees of hypoxia

Dullness to percussion, decreased breath sounds on affected side

Hypotension and flattened neck veins
Pulse pressure narrow

Question 7

Diagnosed confirmed with?

Answer 7

Chest X-ray

Question 8

What volume of blood is seen in in xray

Answer 8

200-300ml

Question 9

What can help to evaluate for hemothorax at bedside quickly

Answer 9

Ultrasound

Question 10

Treatment?

Answer 10

Airway intact
Correct hypoxia
Provide suction ans intubation if airway not intact
Tube thoracotomy w/ 36 or 40 french chest tube