Flail Chest Resulting from a Rocket-type Firework

Content Provider	Semantic Scholar
Author	McCoy, Christopher E. Zuabi, Nadia Lotfipour, Shahram
Copyright Year	2018
Abstract	CASE PRESENTATION An 18-year-old male presented to the emergency department (ED) via ambulance after sustaining a blunt force injury to the left chest from a rocket-type firework. He received a needle thoracostomy in the prehospital setting by paramedics after he was noted to be hypotensive with absent breath sounds on the left. Initial ED vitals were temperature of 37.3°C, blood pressure 90 over palpation, heart rate 147 beats per minute, respirations 30 breaths per minute, and oxygen saturation of 89% on 15 liters of oxygen. The left anterior chest wall demonstrated a large ecchymotic burn with powder stippling and an obvious flail segment billowing paradoxically as high as seven centimeters. Subcutaneous crepitation was palpated in the soft tissues of the chest and neck. Tube thoracostomy was rapidly performed and chest imaging obtained (Images 1 and 2). UC Irvine School of Medicine, Department of Emergency Medicine, Orange, California
Starting Page	355
Ending Page	356
Page Count	2
File Format	PDF HTM / HTML
PubMed reference number	30443626v1
Alternate Webpage(s)	https://doi.org/10.5811/cpcem.2018.9.39941
DOI	10.5811/cpcem.2018.9.39941
Journal	Clinical practice and cases in emergency medicine
Volume Number	2
Language	English
Access Restriction	Open
Subject Keyword	Accident and Emergency department Ambulances Anterior chest wall structure Blunt (object) Eighty Nine Erectile dysfunction Flail Chest Halitosis Nonpenetrating Wounds Oxygen saturation test result Portion of respiratory air Respiration Respiratory Sounds beats per minute breaths per minute centimeter soft tissue
Content Type	Text
Resource Type	Article