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EmergencyMedicineIreland.com
the basic anatomy of chest
and abdominal trauma
Who am I?
EmergencyMedicineIreland.com
Credit: trauma.orgCredit: trauma.org
EmergencyMedicineIreland.com
Credit: hh1edits onYouTube
https://www.youtube.com/watch?v=tmYrWXhFf4c
EmergencyMedicineIreland.com
Objectives
What’s at risk?
How do I find out?
What can I do about it?
EmergencyMedicineIreland.com
Outside The Chest
Chest Wall
Respiratory Compromise
Bleeding
Transmission of force
What’s at risk?
EmergencyMedicineIreland.com
Where will the chest
wall break?
CostoTransverse Joint
CostoVertebral Joint
Outside The Chest
EmergencyMedicineIreland.com
Outside The Chest
EmergencyMedicineIreland.com
Intercostals
Innermost
Internal
External
Outside The Chest
EmergencyMedicineIreland.com
Credit: 1rmutube onYouTube
https://www.youtube.com/watch?v=snqrcB30ZXQ
What happens if the handles are broken?
Outside The Chest
EmergencyMedicineIreland.com
-ve
Outside The Chest
What can I do about it?
+ve
EmergencyMedicineIreland.com
Inside The Chest
Lungs
What’s at risk?
Heart
Great Vessels
EmergencyMedicineIreland.com
How do I find out?
Inside The Chest
Haemothorax
EmergencyMedicineIreland.com
Pleura
Inside The Chest:
Pleura
Parietal
Visceral
EmergencyMedicineIreland.com
What do we do about it?
EmergencyMedicineIreland.com
Credit: trauma.org
What’s at risk?
Inside The Chest
EmergencyMedicineIreland.com
Inside The Chest:
Heart
EmergencyMedicineIreland.com
How do I find out?
Credit: Mattia Quarta [@squartadoc]
Credit: Laleh Gharahbaghian
[@sonospot]
Inside The Chest:
Heart
EmergencyMedicineIreland.com
Inside The Chest:
Heart
EmergencyMedicineIreland.com
Credit: Laleh Gharahbaghian
[@sonospot]
Credit: Mike Mallin
sonocloud.org
Inside The Chest:
Heart
EmergencyMedicineIreland.com
What can I do about it?
Inside The Chest:
Heart
Credit: umemergencymed onYouTube
https://www.youtube.com/watch?v=A57ZB_J4FuY
EmergencyMedicineIreland.com
Inside The Chest:
Great Vessels
EmergencyMedicineIreland.com
Inside The Chest:
Great Vessels
Credit: Hani Alsalam on radiopaedia.org
How do I find out?
Credit: CardiologyReview onYouTube
https://www.youtube.com/watch?v=L91vprk-K28
EmergencyMedicineIreland.com
What can I do about it?
Blood Pressure
Credit: .SilentMode on Flickr
Cold Steel
Inside The Chest:
Great Vessels
EmergencyMedicineIreland.com
EmergencyMedicineIreland.com
Inside The Belly
Young male
High speed RTA
Restrained, BSP
Chief complaint abdo and
back pain
Credit: Jonathan_W on Flickr
EmergencyMedicineIreland.com
What’s at risk?
Credit: Kane Guthrie https://gmep.org/media/10991
Inside The Belly
Seat Belt Sign
EmergencyMedicineIreland.com
Credit: acurachin onYouTube Credit: acurachin onYouTube
What’s at risk? What’s at risk?
Bowel
Pelvis
Spine
Solid organs
Stupid question... the
dummy’s dead...
Inside The Belly
EmergencyMedicineIreland.com
Inside The Belly:
Bowel Bucket Handle Tear
Credit: Michael McGonigal http://regionstraumapro.com/post/13921884326
EmergencyMedicineIreland.com
Inside The Belly:
Pelvis
The Pelvis
Bleeding
Urethral injuries
EmergencyMedicineIreland.com
Inside The Belly:
Spine
Credit: Ian Erskine on GMEP.org
Credit: Gagandeep Singhon radiopaedia.org
Chance Fracture
EmergencyMedicineIreland.com
Inside The Belly:
Solid organs What’s at risk?
EmergencyMedicineIreland.com
Inside The Belly:
Solid organs
How do I find out?
EmergencyMedicineIreland.com
Inside The Belly:
Solid organs
EmergencyMedicineIreland.com
Inside The Belly:
Solid organs
EmergencyMedicineIreland.com
Inside The Belly:
Solid organs
What can I do about it?
EmergencyMedicineIreland.com
What’s at risk?
How do I find out?
What can I do about it?
Objectives
EmergencyMedicineIreland.com
EmergencyMedicineIreland.com

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TCD Lecture: basic anatomy of chest and abdominal trauma