mobey Posted September 23, 2010 Posted September 23, 2010 I'll be honest, I am a little lost on this one. Are the lung sounds clear? are they equal? If so that supports the PE. I will assess for chest rise and watch for signs of a pneumo of course. Could be a hemo too. Any Jugular vein distention? Unless I could uncover a pneumo and needle it, I would be pretty quick to tube this gal.
DartmouthDave Posted September 23, 2010 Author Posted September 23, 2010 I'll be honest, I am a little lost on this one. Are the lung sounds clear? are they equal? If so that supports the PE. I will assess for chest rise and watch for signs of a pneumo of course. Could be a hemo too. Any Jugular vein distention? Unless I could uncover a pneumo and needle it, I would be pretty quick to tube this gal. Hello, Yes, the lungs are clear other than a few crackes (smokers lungs). You were 100% with the embolism. However, in this case it is Fat Embolism Syndrome. I based this scenario on an unassuming female patient with a few fractures who crashed hard after a couple of hours in the ED. She was tubed and even then had oxygenation issues for quite awhile. Cheers
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