A 56 year old man presents to the Emergency department from another hospital for trauma assessment. Earlier that morning he had fallen off a roof and injured his chest and left hand. He has had 3 chest ultrasounds performed by 3 different operators and a pneumothorax was missed. It was picked up by a CT Read more about Pneumothorax : Where do we place the probe?[…]
We have added lung scans of patients with and without pneumothoraces. Test yourself! Pneumothorax/No pneumothorax 1. 2. 3. 4. 5. \ 6. 7. 8. 9. 10.
Images and text Genevieve Carbonatto. You get a BAT call. A 25-year-old with acute asthma has had a cardiopulmonary arrest. He has been intubated by the paramedics and received 1 mg of adrenaline with return of circulation. He is arriving in 5 minutes. A resus team is organised and you are in charge of the Read more about ET tube malposition[…]
Images and text Genevieve Carbonatto A 66 year old presents to the Emergency Department after a fall onto her right chest wall. She had slipped in her bedroom and landed backwards onto a cabinet in her bedroom . She is in great pain on arrival to ED. This is her ultrasound where there is clinically Read more about Air: subcutaneous emphysema vs pneumothorax[…]
Images and Text Genevieve Carbonatto You get an ambulance call. A 34 year old man has fallen off a roof and has severe left sided chest pain. He will be arriving in 5 minutes. The patient arrives. He has significant chest pain which is localised to his left lateral chest wall but he also has Read more about Pneumothorax, power Doppler[…]
Images Genevieve Carbonatto 24 year old with acute chest pain. Previous right sided pneumothorax Left lung Note lung sliding and small ring down artifacts indicating absence of a pneumothorax Right lung Absent lung sliding – pneumothorax Right lung – mid axillary line Lung point – note there is an area where, at the pleural line, Read more about Lung point[…]
Images by Genevieve Carbonatto With M mode , the transition point can be recorded . On the M mode trace, on the right, note the statosphere sign associated with a pneumothorax (absence of lung sliding) and on the left the seashore sign seen with lung sliding Right lung: Lung sliding – no pneumothorax Left lung: Read more about Pneumothorax[…]
Images Tina Cullen Pneumothorax : M mode Statosphere sign – no lung sliding Right sided pneumothorax. Note that M mode should not be used to diagnose a pneumothorax, but simply to record it. Visualising the pleural line for lung sliding is the best way to establish it’s presence or absence. The best probe for this Read more about Pneumothorax[…]