Hemothorax

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  • From trauma
  • Each hemithorax and hold 40% of circulating blood volume
  • CXR
    • Hemithorax is completely opacified
      • Mainstem bronchus intubation can appear like a hemorthorax on CXR
  • Tx
    • Tube thoracostomy
      • Evacuation of >1500mL of blood immediately or 200mL/hr x 4hr = operative management
    • Autotransfuse lost blood if possible
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