Hemothorax Flashcards
1
Q
Sx of Hemothorax
A
- Respiratory distress
- hypotension
2
Q
What is a hemothorax?
A
Intra pleural bleeding due to injury to chest wall, great vessels or lung
3
Q
Hemothorax is commonly secondary to what kind of injury?
A
Penetrating injury
4
Q
Physical exam findings in patients with hemothorax
A
- decreased breath sounds
- dullness to percussion on affected side
- flattened neck veins
5
Q
What is the mortality of patients with great vessel injury?
A
- 50% die immediately
- 25% live 5-10 minutes
- 25% live 30 minutes or longer
6
Q
How do you confirm a hemothorax?
A
CXR
7
Q
How much blood may show in a CXR in patients with hemothorax?
A
200-300ml
8
Q
What other study may evaluate for a hemothorax quickly at bedside?
A
Ultrasound
9
Q
How do you treat a hemothorax?
A
- ensure airway
- suction or intubate as needed
- tube thoracotomy with 36 or 40 French chest tube
