Hemothorax: Difference between revisions
No edit summary |
No edit summary |
||
| Line 1: | Line 1: | ||
* | ==Background== | ||
*Typically from trauma | |||
*Each hemithorax and hold 40% of circulating blood volume | *Each hemithorax and hold 40% of circulating blood volume | ||
==Diagnosis== | |||
*CXR | *CXR | ||
**Hemithorax is completely opacified | **Hemithorax is completely opacified | ||
***Mainstem bronchus intubation can appear like a hemorthorax on CXR | ***Mainstem bronchus intubation can appear like a hemorthorax on CXR | ||
==Treatment== | |||
**Tube thoracostomy | **Tube thoracostomy | ||
***Evacuation of >1500mL of blood immediately or 200mL/hr x 4hr = operative management | ***Evacuation of >1500mL of blood immediately or 200mL/hr x 4hr = operative management | ||
Revision as of 02:49, 17 July 2011
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
- Hemithorax is completely opacified
Treatment
- Tube thoracostomy
- Evacuation of >1500mL of blood immediately or 200mL/hr x 4hr = operative management
- Autotransfuse lost blood if possible
- Tube thoracostomy