mobey Posted September 23, 2010 Share 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. Link to comment Share on other sites More sharing options...
DartmouthDave Posted September 23, 2010 Author Share 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 Link to comment Share on other sites More sharing options...
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