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 ...
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 ha...
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]...
EmergencyMedicineIreland.com
Inside The Chest:
Heart
EmergencyMedicineIreland.com
Credit: Laleh Gharahbaghian
[@sonospot]
Credit: Mike Mallin
sonocloud.org
Inside The Chest:
H...
EmergencyMedicineIreland.com
What can I do about it?
Inside The Chest:
Heart
Credit: umemergencymed onYouTube
https://www....
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?
Cre...
EmergencyMedicineIreland.com
What can I do about it?
Blood Pressure
Credit: .SilentMode on Flickr
Cold Steel
Inside The Ch...
EmergencyMedicineIreland.com
EmergencyMedicineIreland.com
Inside The Belly
Young male
High speed RTA
Restrained, BSP
Chief complaint abdo and
back pain...
EmergencyMedicineIreland.com
What’s at risk?
Credit: Kane Guthrie https://gmep.org/media/10991
Inside The Belly
Seat Belt ...
EmergencyMedicineIreland.com
Credit: acurachin onYouTube Credit: acurachin onYouTube
What’s at risk? What’s at risk?
Bowel...
EmergencyMedicineIreland.com
Inside The Belly:
Bowel Bucket Handle Tear
Credit: Michael McGonigal http://regionstraumapro....
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...
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

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Slideset from a talk I give to 2nd med students in Trinity College Dublin. Screencast lives here. http://vimeo.com/63183645

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TCD Lecture: basic anatomy of chest and abdominal trauma

  1. 1. EmergencyMedicineIreland.com the basic anatomy of chest and abdominal trauma
  2. 2. Who am I?
  3. 3. EmergencyMedicineIreland.com Credit: trauma.orgCredit: trauma.org
  4. 4. EmergencyMedicineIreland.com Credit: hh1edits onYouTube https://www.youtube.com/watch?v=tmYrWXhFf4c
  5. 5. EmergencyMedicineIreland.com Objectives What’s at risk? How do I find out? What can I do about it?
  6. 6. EmergencyMedicineIreland.com Outside The Chest Chest Wall Respiratory Compromise Bleeding Transmission of force What’s at risk?
  7. 7. EmergencyMedicineIreland.com Where will the chest wall break? CostoTransverse Joint CostoVertebral Joint Outside The Chest
  8. 8. EmergencyMedicineIreland.com Outside The Chest
  9. 9. EmergencyMedicineIreland.com Intercostals Innermost Internal External Outside The Chest
  10. 10. EmergencyMedicineIreland.com Credit: 1rmutube onYouTube https://www.youtube.com/watch?v=snqrcB30ZXQ What happens if the handles are broken? Outside The Chest
  11. 11. EmergencyMedicineIreland.com -ve Outside The Chest What can I do about it? +ve
  12. 12. EmergencyMedicineIreland.com Inside The Chest Lungs What’s at risk? Heart Great Vessels
  13. 13. EmergencyMedicineIreland.com How do I find out? Inside The Chest Haemothorax
  14. 14. EmergencyMedicineIreland.com Pleura Inside The Chest: Pleura Parietal Visceral
  15. 15. EmergencyMedicineIreland.com What do we do about it?
  16. 16. EmergencyMedicineIreland.com Credit: trauma.org What’s at risk? Inside The Chest
  17. 17. EmergencyMedicineIreland.com Inside The Chest: Heart
  18. 18. EmergencyMedicineIreland.com How do I find out? Credit: Mattia Quarta [@squartadoc] Credit: Laleh Gharahbaghian [@sonospot] Inside The Chest: Heart
  19. 19. EmergencyMedicineIreland.com Inside The Chest: Heart
  20. 20. EmergencyMedicineIreland.com Credit: Laleh Gharahbaghian [@sonospot] Credit: Mike Mallin sonocloud.org Inside The Chest: Heart
  21. 21. EmergencyMedicineIreland.com What can I do about it? Inside The Chest: Heart Credit: umemergencymed onYouTube https://www.youtube.com/watch?v=A57ZB_J4FuY
  22. 22. EmergencyMedicineIreland.com Inside The Chest: Great Vessels
  23. 23. 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
  24. 24. EmergencyMedicineIreland.com What can I do about it? Blood Pressure Credit: .SilentMode on Flickr Cold Steel Inside The Chest: Great Vessels
  25. 25. EmergencyMedicineIreland.com
  26. 26. EmergencyMedicineIreland.com Inside The Belly Young male High speed RTA Restrained, BSP Chief complaint abdo and back pain Credit: Jonathan_W on Flickr
  27. 27. EmergencyMedicineIreland.com What’s at risk? Credit: Kane Guthrie https://gmep.org/media/10991 Inside The Belly Seat Belt Sign
  28. 28. 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
  29. 29. EmergencyMedicineIreland.com Inside The Belly: Bowel Bucket Handle Tear Credit: Michael McGonigal http://regionstraumapro.com/post/13921884326
  30. 30. EmergencyMedicineIreland.com Inside The Belly: Pelvis The Pelvis Bleeding Urethral injuries
  31. 31. EmergencyMedicineIreland.com Inside The Belly: Spine Credit: Ian Erskine on GMEP.org Credit: Gagandeep Singhon radiopaedia.org Chance Fracture
  32. 32. EmergencyMedicineIreland.com Inside The Belly: Solid organs What’s at risk?
  33. 33. EmergencyMedicineIreland.com Inside The Belly: Solid organs How do I find out?
  34. 34. EmergencyMedicineIreland.com Inside The Belly: Solid organs
  35. 35. EmergencyMedicineIreland.com Inside The Belly: Solid organs
  36. 36. EmergencyMedicineIreland.com Inside The Belly: Solid organs What can I do about it?
  37. 37. EmergencyMedicineIreland.com What’s at risk? How do I find out? What can I do about it? Objectives
  38. 38. EmergencyMedicineIreland.com
  39. 39. EmergencyMedicineIreland.com

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