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 ??
A few days ago I was looking after a 31/40 gestation restrained passenger from low-speed MVA with a slight seatbelt abrasion in her RIF & mild suprapubic pain. She looked well, HR 70 with BP 108 systolic and no features of peritonism.
As I placed the US-probe on for her FAST, this was the first image I acquired.....
A few days ago I was looking after a 31/40 gestation restrained passenger from low-speed MVA with a slight seatbelt abrasion in her RIF & mild suprapubic pain. She looked well, HR 70 with BP 108 systolic and no features of peritonism.
As I placed the US-probe on for her FAST, this was the first image I acquired…..
