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heart, great vessels, lungs, airways, esophagus, diaphragm, and chest wall.
Join us in our upcoming session to find out what happens to them in case of a trauma
Registration link will be available tomorrow at 5pm
Join us in our upcoming session to find out what happens to them in case of a trauma
Registration link will be available tomorrow at 5pm
Thank you Dr. Meshal for this amazing lecture 
Thoracic injury is common in the polytrauma patient and can pose life-threatening problems if not promptly identified and treated during the primary survey
.
.
These patients can usually
be treated or their conditions temporarily relieved by relatively simple measures, such as
intubation, ventilation, tube thoracostomy, and fluid resuscitation
.
be treated or their conditions temporarily relieved by relatively simple measures, such as
intubation, ventilation, tube thoracostomy, and fluid resuscitation
.
In this thread we will simply some of the most common causes of thoracic trauma and it's management 
Cardiac TamponadeCardiac Tamponade
is compression of the heart by and accumulation of fluid in the pericardial sac.
most commonly results from penetrating injuries, although blunt
injury also can cause the pericardium to fill with blood from the heart, great vessels, or epicardial vessels.
injury also can cause the pericardium to fill with blood from the heart, great vessels, or epicardial vessels.
S&S:
The classic clinical beck's triad of muffled heart sounds, hypotension, and distended veins
The classic clinical beck's triad of muffled heart sounds, hypotension, and distended veins
Diagnosis :
(FAST) is a rapid and accurate method of imaging the heart and pericardium that can effectively identify cardiac tamponade.
(FAST) is a rapid and accurate method of imaging the heart and pericardium that can effectively identify cardiac tamponade.
Management :
1- ABCDE
2- emergency thoracotomy or sternotomy
3- Administration of intravenous fluid
If surgical intervention is not possible, pericardiocentesis can be therapeutic, but it does not constitute definitive treatment for cardiac tamponade
1- ABCDE
2- emergency thoracotomy or sternotomy
3- Administration of intravenous fluid
If surgical intervention is not possible, pericardiocentesis can be therapeutic, but it does not constitute definitive treatment for cardiac tamponade
Massive Hemothorax
S&S :
1- Flat neck veins due to severe hypovolemia
2- Absent breath sound
3- Asymmetrical chest movement
4- Chest pain
5- dullness to percussion on one side of the chest
1- Flat neck veins due to severe hypovolemia
2- Absent breath sound
3- Asymmetrical chest movement
4- Chest pain
5- dullness to percussion on one side of the chest
Diagnosis :
X ray and FAST exam
Management :
A. ABCDE
B. Chest tube
C. restoring blood volume
D. Establish large caliber intravenous lines, infuse crystalloid.
X ray and FAST exam
Management :
A. ABCDE
B. Chest tube
C. restoring blood volume
D. Establish large caliber intravenous lines, infuse crystalloid.
