Hemothorax: Difference between revisions
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==Background== | ==Background== | ||
*Each hemithorax can hold 40% of circulating blood volume | *Each hemithorax can hold 40% of circulating blood volume | ||
==Clinical Features== | |||
==Differential Diagnosis== | |||
{{Thoracic trauma DDX}} | |||
==Diagnosis== | ==Diagnosis== | ||
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*US | *US | ||
*CT is gold standard | *CT is gold standard | ||
==Treatment== | ==Treatment== | ||
*Tube thoracostomy | *[[Tube thoracostomy]] | ||
**Evacuation of >1500mL of blood immediately or 200mL/hr x 4hr = consider sx | **Evacuation of >1500mL of blood immediately or 200mL/hr x 4hr = consider sx | ||
*Autotransfuse lost blood if possible | *Autotransfuse lost blood if possible | ||
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*[[Spontaneous Pneumothorax]] | *[[Spontaneous Pneumothorax]] | ||
*[[Tension Pneumothorax]] | *[[Tension Pneumothorax]] | ||
[[Category:Pulm]] | [[Category:Pulm]] | ||
[[Category:Trauma]] | [[Category:Trauma]] | ||
Revision as of 13:42, 21 January 2016
Background
- Each hemithorax can hold 40% of circulating blood volume
Clinical Features
Differential Diagnosis
Thoracic Trauma
- Airway/Pulmonary
- Cardiac/Vascular
- Musculoskeletal
- Other
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
Treatment
- Tube thoracostomy
- Evacuation of >1500mL of blood immediately or 200mL/hr x 4hr = consider sx
- Autotransfuse lost blood if possible