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
No
What is your impression?
Pleural effusion
Atelectasis
Pulmonary contusion
Retained hemothorax
When will you label a patient with retained hemothorax?
Immediately post tube
After 24 hours on LPS
After 48-72 hours on LPS
After 1 week
Anytime after exhausting all maneuvers to drain the 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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