Re: Trauma q
urkhan - 01-19-08 06:37

C

Re: Trauma q
drsim07 - 01-20-08 02:23

C

Re: Trauma q
8401glacieres - 01-21-08 08:06

C---he needs to undergo thoracotomy, as the fluid drained at first attempt is 1.5 lts- a significant amount.
Indications for thoracotomy in any chest trauma case is
1)Receiving more than 1lt/1.5 lts, but for exam it's one liter.
2)Subsequent bleeding after chest tube insertion if 600ml in next 6 hrs,,,,,,,,,,,,,,,,,

low blood volume----probably from low pressure sites-------lung parnchyme and no need of thoraacotomy.
Profuse bleeding as described in the above vigneet -probably from vessels-------and needs urgent surgical care, rether than just a tube insertion,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Re: Trauma q
laparotomy - 01-22-08 15:12

You should monitor his vital signs. If they are stable then concider a CT chest abdomen. To find out what is damaged and to what extent. If you see that you cannot control the bleeding then do a thoracotomy.

Re: Trauma q
radhamesramos - 01-29-08 12:43

for Step III purposes, next step would be Abdominal CT if the patient's vitals are stable...and FAST is inconclusive. Thoracothomy would come next if Abdominal CT Scan is negative

Re: Trauma q
ammulufy - 07-02-10 21:37

I wud like to go for c.thoracotomy for ruling out further abdominal injuries.

Re: Trauma q
rababzain - 07-03-10 08:30

do abd CT scan to roll out any abdominal injury
answer is d

Re: Trauma q
babbu5508 - 07-07-10 21:47

c. thoracotomy...because a large plueral effusion thats turns out to be 1.5l of blood with chest tube insertion and steady bleed

Re: Trauma q
bingousmle - 07-09-10 02:21

b. repeat cxr

Re: Trauma q
usmlerose - 07-10-10 07:15

D??