VizD Challenge Week of 7/16/2007
A 24-year-old man is brought to your Emergency Department after being stabbed in his chest. His heart rate is 125 beats per minute, respiratory rate is 33 breaths per minute, and blood pressure is 85/50 mm Hg. You note the findings seen in the images below.
(click on image to enlarge)
Questions:
1. What is the presumed clinical diagnosis?
2. What is the immediate treatment?
3. What is the definitive treatment?
Winner receives $10
To submit your answer please click on comments below.
For more information about the contest, click here.
VizD is a weekly contest of an interesting or pathognomonic image from emergency medicine. Its goal is to integrate learning into a fun and relaxed environment. All images are original and are posted with the consent of the patient. For more information please refer to the following link.
10 comments:
1) Cardiac tamponade
2) Needle pericardiocentesis
3) Pericardial window - surgical procedure
Juliamd
1. Tension pneumothorax.
2. 100% oxygen + emergency needle decompression.
3. Thoracostomy tube.
Tension pneumothorax.
Needle decompression.
Chest tube.
1. Tension pneumothorax
2. needle thoracostomy- needle decompression
3. tube thoracostomy- chest tube
1. Pericardial Tamponade
2. Fluids to increase BP with an emergent pericardiocentesis.
3. surgical pericardiectomy
1: Tension Pneumothorax
2: Needle Decompression
3: Chest Tube
1. tension pneumothorax
2. needle decompression
2. thoracostomy
inna leybell
:)
Tension pneumothorax
Place needle or jelco in 2nd ICS, MCL
Chest tube
CardioNP
1)presumed diagnosis is hemopericardium causing tamponade (low BP, JVD)
2) immediate treatment is to bolus IV fluids and maintain cardiac output while setting up for definitive treatment which is...
3) a pericardiocentesis or pericardial window to drain the hematoma and relive the pressure aroudn the heart
1) tension pneumothorax
2) 14 gauge angio cath in second intercostal space, midclavicular line on side trachea is deviated away from/has no breath sounds
3) definitive treatment is chest tube to suction
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