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a pulmonary pummelling…

December 5, 2012 By Christopher Partyka Leave a Comment

The Case.

This patient has been in your ED for over 24 hours waiting for a CCU bed. He presented with vomiting and syncope, but acquired left sided rib fractures during his collapse. He has been comfortable for most of the day on nasal-prong oxygen and a morphine PCA.

You are asked to see him as he has sudden worsening of his left-sided chest pain. He has become clammy and hypoxic.

This is what you see….

What’s going on ?
What are you going to do now ??

[Read more…]

Filed Under: Respiratory, Trauma Tagged With: Flail Chest, paradoxical, pulmonary contusion, Trauma

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