by Adam Herbstritt
A 40yr male presents after a high fall off a ladder. With significant tenderness down his left chest into flank he gets a trauma CT, revealing a couple of rib fractures and a moderate left sided pneumothorax.
Discussion with cardiothoracics agrees a plan for admission for observation but no drain. Analgesia is optimised.
Is there anything else we should be doing to speed resolution of the pneumo?
Well it was news to me that giving O2 via face mask speeds pneumo resolution. Its certainly in the BTS guidelines as suggested management for all hospitalised spontaneous pneumo's (I havn't been giving it here either) quoting "a fourfold increase in the rate of pneumothorax resolution".
The Derrifoam Blog
Welcome to the Derrifoam blog - interesting pictures, numbers, pitfalls and learning points from the last few weeks. Qualityish CPD made quick and easy.....