Trauma GS Conference

When will you repeat the chest xray?

On the 6th hour post injury

On the 6th hour after initial xray

On the 24th hour post injury

On the 24th hour after initial xray

No need because patient is asymptomatic

The 24th hour xray showed 5% pneumothorax. What will you do next?

Perform tube thoracostomy on the right

Repear xray after another 6 hours (30th hour)

Repeat xray after another 24 hours (48th hour)

Discharge the patient since patient is asymptomatic

What's your next step?

Perform tube thoracostomy on the right

Repeat xray after another 6 hours (36th hour)

Repeat xray after another 24 hours (54th hour)

Discharge the patient because patient is asymptomatic

Will you give antibiotics before putting in a chest tube?

Yes

What is your impression?

Pleural effusion

Atelectasis

Pulmonary contusion

Retained hemothorax

When will you label a patient with retained hemothorax?

What diagnostic test will you request to confirm your impression?

No further diagnostic test needed

Request for chest lateral and right lateral decubitus views

Perfrom chest ultrasound

Perfrom chest CT scan with IV contrast

What is your next step in the management?

Give O2 support, start incentive spirometry, hook to LPS

Readjust the chest tube

Insert another chest tube posteriorly on the right

Perform ultrasound-guided thoracentesis right

Schedule the patient for VATS

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