Hemothorax: Difference between revisions
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==Background== | ==Background== | ||
*Each hemithorax can hold 40% of circulating blood volume | |||
*Each hemithorax | |||
==Diagnosis== | ==Diagnosis== | ||
*CXR | *CXR | ||
** | **Upright - Fluid collections >200-300cc can usually be seen | ||
***Mainstem bronchus intubation can appear like a | **Supine - Fluid collections >1000cc can be missed | ||
**Mainstem bronchus intubation can appear like a hemothorax on CXR | |||
*US | |||
*CT is gold standard | |||
==Treatment== | ==Treatment== | ||
*Tube thoracostomy | *Tube thoracostomy | ||
**Evacuation of >1500mL of blood immediately or 200mL/hr x 4hr = | **Evacuation of >1500mL of blood immediately or 200mL/hr x 4hr = consider sx | ||
*Autotransfuse lost blood if possible | *Autotransfuse lost blood if possible | ||
Revision as of 04:19, 17 July 2011
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
Treatment
- Tube thoracostomy
- Evacuation of >1500mL of blood immediately or 200mL/hr x 4hr = consider sx
- Autotransfuse lost blood if possible