Diferencia entre revisiones de «Hemothorax»
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*CT is gold standard | *CT is gold standard | ||
==Differential Diagnosis== | |||
{{Thoracic trauma DDX}} | |||
==Treatment== | ==Treatment== | ||
Revisión del 20:37 6 dic 2014
Background
- Each hemithorax can hold 40% of circulating blood volume
Diagnosis
- CXR
- Upright - Fluid collections >200-300cc can usually be seen
- Supine - Fluid collections >1000cc can be missed
- Mainstem bronchus intubation can appear like a hemothorax on CXR
- US
- CT is gold standard
Differential Diagnosis
Thoracic Trauma
- Airway/Pulmonary
- Cardiac/Vascular
- Musculoskeletal
- Other
Treatment
- Tube thoracostomy
- Evacuation of >1500mL of blood immediately or 200mL/hr x 4hr = consider sx
- Autotransfuse lost blood if possible
See Also
...