A quick overview of pneumothorax for the EM physician: the what, why, diagnosis, and treatment.
Hosts:
Joe Offenbacher, MD
Audrey Tse, MD
Core EM - Emergency Medicine Podcast Episode 183.0 Pneumothorax
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Oct 29, 2021 Dive into the world of pneumothorax, where the hosts unravel the different causes, from spontaneous to traumatic. They explain the clinical signs to watch for, emphasizing the urgency in identifying tension pneumothorax. Imaging techniques like bedside ultrasound are highlighted as game-changers for diagnosis. Learn about effective management strategies, including needle thoracostomy, and recent evidence advocating for conservative approaches in select cases. Perfect for anyone in emergency medicine!
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What Is Pneumothorax?
- Pneumothorax is the accumulation of gas in the intrapleural space causing lung collapse.
- It can be spontaneous, iatrogenic, or traumatic with different underlying causes and management.
Primary vs Secondary Pneumothorax
- Primary spontaneous pneumothorax occurs in healthy patients, often from ruptured blebs.
- Secondary occurs in patients with underlying lung disease like COPD or cystic fibrosis.
Symptoms Vary Widely
- Pneumothorax symptoms range from mild discomfort to severe respiratory distress.
- Classic signs include acute chest pain and dyspnea, but severity varies widely.
