Traumatic Pneumothorax; Roadside to Resus

The Resus Room

Simon Laing

Science, Emergencymedicine, Medicine, Health & Fitness, Em, Ae

4.8 • 678 Ratings

🗓️ 14 June 2023

⏱️ 49 minutes

🔗️ Recording | iTunes | RSS

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Summary

This is the first of two episodes looking at pneumothoraces. In this episode we're going to start out by taking a look at traumatic pneumothoraces.

Traumatic pneumothoraces are present in about a fifth of multiple trauma patients, so it's not infrequent to come across them and they can obviously occur in those with isolated chest injury too. Thoracic trauma occurs in around two thirds of multi-trauma cases and is classified as the primary cause of death in a quarter of trauma patients.

The clinical assessment carries with it a fair amount of dogma, including looking for tensions with tracheal deviation, so we'll be running through what the signs we should look for actually mean.

Then we'll move on to a detailed discussion about investigation strategies before finally looking at the guidelines and evidence on the topic, including which we have to intervene with, which we probably shouldn't and those in which there is much uncertainty...

Once again we'd love to hear any comments or questions either via the website or social media.

Enjoy!

Simon, Rob & James

ps; if you’re interested in getting your site involved with the CoMITED Trial then email [email protected]

Transcript

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0:00.0	Welcome to the recess room podcast.
0:03.5	Five, four, three, two, one, fire.
0:12.4	So hi, and welcome back to the recess room podcast.
0:15.7	I'm Simon Lang.
0:17.1	I'm Rob Fenwick.
0:18.2	And I'm James Yates.
0:19.5	And we're back with another full-on, full-fat
0:22.9	roadside to recess. And this time it's on traumatic pneumothorax. Yeah, it certainly is. And you're
0:30.1	not wrong about the full fat episode, Simon. I mean, I've brought snacks. It's going to be that long.
0:38.0	But we have been kind.
0:39.4	We have broken it down a little bit, haven't we?
0:41.2	Because it could have been far worse.
0:42.8	Yeah, absolutely.
0:43.7	You can look forward to the spontaneous Numithorax episode that will be following this up
0:48.2	very shortly.
0:49.7	Now, before we get into it, a massive thanks to our new sponsors, Zol Medical Corporation, who, as part of
0:56.5	their dedication to delivering the best care to patients have enabled us to bring this to you as a
1:01.9	free open access podcast. And make sure, once you've listened to the podcast or maybe even
1:07.5	whilst you're doing it to find something else to fill your time, make sure you go to the CPD diary that they themselves have helped us develop.
1:14.8	We've now got over 16,000 users of that platform,
1:18.7	help you to record your CPD, get credit for making it through the whole of this podcast,
1:23.5	and you can upload any other stuff that you're doing to keep up to date with your practice.
	...

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