MEDRADSC 3J03 Lecture Notes - Lecture 8: Pulmonary Contusion, Hemopneumothorax, Bruise
29 Jan 2020
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Document Summary
Injury to spine, thoracic cage and pelvis this patient often has multiple injuries: requires rapid medical intervention. Initial imaging: lat c-spine, clear to take off collar, ap chest, mediastinum, rib fractures, collapsed lung etc, ap pelvis, any internal bleeding, gross injuries or stabilization of hips, crushed bony thorax on impact. Complications: mva"s, pulmonary contusion, myocardial contusion, diaphragmatic rupture, abdominal injuries. 2 mechanisms of injury: direct blow/hit, crush injury. Necessary views/projections: oblique views to demo # of ribs, fractures may be hidden or overlapped, rib fractures can lead to many complications. *fractures of lower ribs may cause abdominal viscera injury. Location: 13% upper c spine, 53% lower c spine (c5-7, minimal muscles protecting spine, more rotation, could be respirator dependent w fracture at c4-5 damaging diaphragmatic nerve, 23% thoracolumbar (t10-l2, below l3 minimal nerves for damage to occur. Causes: 50% mva, 25% falls, 10% sports.
