Hemothorax

Background

  • Typically from trauma
  • Each hemithorax and hold 40% of circulating blood volume

Diagnosis

  • CXR
    • Hemithorax is completely opacified
      • Mainstem bronchus intubation can appear like a hemorthorax on CXR

Treatment

  • Tube thoracostomy
    • Evacuation of >1500mL of blood immediately or 200mL/hr x 4hr = operative management
  • Autotransfuse lost blood if possible

See Also