Hemothorax: Difference between revisions
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*[[Spontaneous Pneumothorax]] | *[[Spontaneous Pneumothorax]] | ||
*[[Tension Pneumothorax]] | *[[Tension Pneumothorax]] | ||
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[[Category:Pulm]] | [[Category:Pulm]] | ||
[[Category:Trauma]] | [[Category:Trauma]] | ||
Revision as of 23:21, 8 September 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
See Also
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