๐ Normal trauma AP chest view
PRIMARY TRAUMA OBJECTIVES (ABCDE)
1๐ Rapid assessment during primary survey
2๐ Identification of immediately life-threatening injuries
AIRWAY & BREATHING INJURIES
3๐ Endotracheal tube position
4๐ Tracheal deviation
5๐ Tension pneumothorax
6๐ Open pneumothorax
PLEURAL & AIR LEAK INJURIES
7๐ Pneumothorax (supine signs)
8๐ Deep sulcus sign
9๐ Hemothorax
10๐ Hydropneumothorax
LUNG PARENCHYMAL INJURY
11๐ Pulmonary contusion
12๐ Pulmonary laceration
13๐ Aspiration injury
MEDIASTINAL & VASCULAR INJURY
14๐ Mediastinal widening
15๐ Aortic injury (indirect signs)
16๐ Tracheobronchial injury
CARDIAC INJURY
17๐ Cardiac tamponade (enlarged cardiac silhouette)
18๐ Hemopericardium
SKELETAL INJURY
19๐ Rib fractures
20๐ Flail chest
21๐ Clavicular fractures
22๐ Scapular fractures
23๐ Thoracic spine injury
DIAPHRAGMATIC INJURY
24๐ Traumatic diaphragmatic rupture
25๐ Herniation of abdominal contents
FOREIGN BODIES & DEVICES
26๐ Bullet fragments
27๐ Shrapnel / penetrating injury markers
28๐ Chest tube position
POST-INTERVENTION ASSESSMENT
29๐ Post-chest tube lung re-expansion
30๐ Residual pneumothorax or hemothorax
LIMITATIONS & PITFALLS
31๐ Supine/AP projection masking small pneumothorax
32๐ Underestimation of mediastinal injury
33๐ Need for CT trauma protocol correlation
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