FAQ - Hemothorax
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Recovery scenarios for a massive hemothorax?


Assuming that a massive hemothorax has been treated by cracking the chest, what does recovery for a young otherwise healthy patient look like (adult)? Is it possible for the patient to become conscious again within hours of surgery? And how long is the recovery process? What is the best and worse case scenario hypothetically speaking?
Please state your credentials, and thanks!
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Generally, a hemothorax is created one of two ways: a blood vessel begins to leak because of a weakened wall (aneurysm), or because it is diseased (Very virulent infection). In the case of an aortic aneurysm, this can be massive. The other route is trauma - blunt force or penetrating.

Best case scenario is that the patient makes it to advanced medical care (ie, on a surgical table) in less than an hour, and the intial cause of bleeding is repaired. With moderate blood loss, adequate IV fluid resuscitation and a chest tube in (to drain the residual floor/fluid and ensure the lung stays inflated), a patient can wake up within hours of the surgery in the ICU and be relatively fine. Their breathing would not be 100% for awhile and they'd be in quite a bit of pain, but aside from a scar, there'd be no lasting effects.

Worst case scenario (assuming they make it out of surgery) can go one of two ways - the blood loss would have been too great/the bleeding restarts (you can bleed out nearly all your blood into a lung cavity) and the medical staff can't get fluids/blood back in fast enough, and they die of blood loss/heart failure.

The other way is that due to the trauma to the lung, their breathing is never good enough to get off the breathing machine (ventilator), and ultimately die of either a ventilator infection (they're very common) or failure of their respiratory system.  (+ info)

A hemothorax is caused by air in the thoracic cavity pushing on the lungs causing the lung to collapse?


true or false
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Recovery for a massive hemothorax?


Assuming that a massive hemothorax has been treated by cracking the chest, what does recovery for a young otherwise healthy patient look like (adult)? Is it possible for the patient to become conscious again within hours of surgery? And how long is the recovery process?
Please state your credentials, and thanks!
Assuming that a massive hemothorax has been treated by cracking the chest, what does recovery for a young otherwise healthy patient look like (adult)? Is it possible for the patient to become conscious again within hours of surgery? And how long is the recovery process? What is the best and worse case scenario hypothetically speaking?
Please state your credentials, and thanks!
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Results may vary....I suggest speaking with the nurses and doctors taking care of the patient your speaking about. I am sure they will extubate (take the breathing tube out) as soon as they can. It can be immediately after surgery or even the next day. Its hard to guess from your paragraph question.

All you can do is trust in the people taking care of your loved one, and feel free to ask questions. It takes time to heal.  (+ info)

what treatment is most used for a self-limiting hemothorax?


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EMT treatment for a massive hemothorax?


What are the options usually available to EMTs when a hemothorax is suspected? Also, what symptoms would lead them to believe a hemothorax has occurred (assuming the victim is unconscious from a car accident)? Must those symptoms appear in any particular order (for example will cyanosis always precede hypotension)?
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A massive hemothorax does not generally cause cyanosis. Cyanosis is caused by deoxygenated blood. In a "massive hemothorax", you are having problems with blood loss b/c the blood is inside your chest cavity instead of your blood vessels. Most patients are pale, not cyanotic.
EMT's provide basic life support only. For a hemothorax, they can give the patient oxygen, position them on the stretcher in a manner that attempts to preserve blood flow to the heart and brain (Trendelenberg position), and rapid transport to the hospital. As someone mentioned below, paramedics can stick a needle in someones chest to relieve the pressure. However, this is the treatment for a pneumothorax (air), not a hemothorax (blood). It is not nearly as effective for a hemothorax, but the two (pneum and hemo- thorax) often occur together in trauma. In the hospital, they will put in at least 1 chest tube. this is a tube about as big as a man's index finger that is inserted from the side (midaxillary line), above the 5th rib. The tube is then hooked up to a suction device to help remove the blood. If there is enough blood the patient then goes to the operating room. If the patient is actually dying, they can go ahead and "crack" the chest in the emergency department. This is a temporizing measure that allows them to identify and stop large, obvious sources of bleeding, and preserve vital organ perfusion by cross-clamping the aorta.  (+ info)

hypotenison in a hemothorax?


Hypotension hemothorax is caused by which of these
1. the ability of each side of the thorax to hold up to 3 liters of blood
2. interference with blood return due to intrathoracic pressure
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2. interference with blood return due to intrathoracic pressure  (+ info)

Differential diagnosis: Hemothorax vs. Tension Pneumothorax?


How does an EMT tell the difference between these two while in the field? The signs and symptoms seem to be the same.
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Ruthi: Auscultation has nothing to do with resonance. And also there is no such thing as organs moving to the other side. Yes, the trachea will shift (this is a late sign) which in turn compresses the heart.

To answer your question:
Both present with decreased breath sounds on the affected side. It is practically impossible to differentiate one from the other, though. Both conditions will cause respiratory distress, and similar S&S. Remember: A hemothorax is likely to have shock symptoms due to blood loss.

Knowing what happened could sometimes help in knowing what the diagnosis is, other than that it's difficult to diagnose in the field.

Hope I helped.  (+ info)

How do i translate next words into turkish?


discogenic, pseudoarthriosis, individualization, unsupported, leukocytosis, uncooperative, polymers, oncogenic, biopsies, intermixed, meningocele, radiculopathy, pseudoarthrosis, hemothorax, gastrointestinal urological, preoperative, postoperative, intraoperative.U probably noticed this is medical language.Please if anyone can help me with these words, i would really appreciate!Thanks everybody!
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They may be medical words but I don't think anyone who responds to questions in this category will be able to help you.  (+ info)

How do i translate these words into turkish?


discogenic, pseudoarthriosis, individualization, unsupported, leukocytosis, uncooperative, polymers, oncogenic, biopsies, intermixed, meningocele, radiculopathy, pseudoarthrosis, hemothorax, gastrointestinal urological, preoperative, postoperative, intraoperative.U probably noticed this is medical language.Please if anyone can help me with these words, i would really appreciate!Thanks everybody!
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diskojenik
yalancı eklem
bireyselleştirme
desteği olmayan
lökositoz
işbirliksiz
polimer
onkojenik
biyopsi
birbirine karıştırılmış
meningosel
spinal hastalık
yalancı eklem
hemotoraks
midesel ürolojiksel
operasyon öncesi
operasyon sonrası
operasyon esnasında

thanks..  (+ info)

is INTOXICATION a predisposing factor or a precipitating factor?


a drunk man had hemothorax caused by a motor vehicular accident. is being drunk a predisposing or precipitating factor? thanks.
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