Round 12 (Difficulty Breathing)
EM Clerkship - A podcast by Zack Olson, MD and Michael Estephan, MD
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CAUTION: THESE NOTES CONTAIN SPOILERS!!! Case Introduction A young gentlemen runs out to triage yelling “I can’t breath!” and collapses to the floor in front of the nurse… Initial Vitals * Temp 98.8* HR 145* RR 45* BP 60/30* O2 85% Critical Actions * Give Supplemental Oxygen* Identify Pneumothorax Prior to Imaging* Correctly Perform Needle Thoracostomy* Correctly Perform Tube Thoracostomy Final Diagnosis Pneumothorax Secondary to Penetrating Chest Trauma Tips and Tricks Be careful, lack of visual cues during oral cases can mislead you! Additional Reading * Thoracic Trauma (EM Clerkship)* NBME Trauma Review (EM Clerkship)
