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X-ray Identification of

Thoracic Injuries

Skill Station IV

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Thoracic anatomy

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Bronchus anatomy

Pleura

visceral

Trachea

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Pleura: Parietal-Visceral

Pleura parietal

Pleura

visceralCavum pleura

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Hemothorax

Hemothorax

Paru

mengembang

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Hemothorax

Massive

hemothorax

Blood > 1500 cc

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Thoracic drain/tube

Chest tube

Insertion of the

chest tube

SIC 5

Kearah

Cranio-posterior

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Perbedaan penempatan chest tube

Papilla

Mammae

( SIC 5 )

Lipat payudara

bawah

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Posisi insertia chest tube

Linea Axillaris posterior

Linea Axillaris media

Linea Axillaris anterior

Fossa Axillaris

SIC 5

*Pria : Papilla mamae

*Wanita : Lipat payudara bawahm.Serratus posterior

m.Serratus anterior

Lokasi sayatan

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Procedure of thoracic tube

Index FingerChest tube

Long kellySIC 5

Costae 4

Costae 5

Pleura parietal

Pleura viceral

Pleura parietal

Cavum pleura

Kearah Cranio-

posterior

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Expansion of thoracic pleura

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DL// DH

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Normal Anatomy of Thoracic

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Pneumothoracic

Collapsed lung

Air Visceral pleural ruptured/perforated

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Pneumothoracic/Collapsed of

the lung

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X-ray Anatomy

X-ray particle

Air

Blood

Soft tissue

Bone

LUCENT

OPAQUE

LESS LUCENT

LESS OPAQUE

Film x-ray

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Normal Chest x-ray

H t id tif thi ?

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How to identify this x-ray ?

Pleuraparietal

Pleura

isceral

Broncho

asculer

Broncho

vasculer

Aortic knob

Th i X Id tifi ti

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A Airway

B Breathing

C Circulation

DDiaphragma

E Soft tissue/ Costae

E Costae

E Soft tissueThoracic X-ray Identification

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AIRWAY

( A )

BREATHING

( B )

CIRCULATION

( C )

DIAPHRAGMA

( D )

PLEURA

PARIETAL

PLEURA

VISCERAL

COSTAE

( E )

SOFT TISSUE

( E )

E (ect) * SOFT TISSUE/COSTAE

CAVUM PLEURA

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Pneumothorax

Air

Pleural

visceral

Pleural

Parietal

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Collapsed of right lung

Collapsed of

right lung

Inspeksi gambaran

cedera

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Tension Pneumothorax

Tepi lateral jantung

Pleura Visceral

Pleura Parietal

Pharenchym paru

Bercak vasculer

menghilang

Trachea tergeser

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SUMMARY

X Id tifi ti f Th i

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X-ray Identification of Thoracic

Injuries AIRWAY

( A )

BREATHING

( B )

CIRCULATION

( C )

DIAPHRAGMA

( D )

PLEURA

PARIETAL

PLEURA

VISCERAL

COSTAE

( E )

SOFT TISSUE

( E )

E * SOFT TISSUE* COSTAECAVUM PLEURA

X Id tifi ti f Th i

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X-ray Identification of Thoracic

Injuries AIRWAY

( A )

BREATHING

( B )

CIRCULATION

( C )

DIAPHRAGMA

( D )

PLEURA

PARIETAL

PLEURA

VISCERAL

COSTAE

( E )

SOFT TISSUE

( E )

E * SOFT TISSUE* COSTAECAVUM PLEURA

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Thank-you

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Glasgow Coma Score (GCS)

Eye Opening Verbal Response Motor Response

Spontaneous = 4

To Voice = 3

To Pain = 2

None = 1

Oriented = 5

Confused = 4

Innappropriate Words = 3

Incomprehensible Words = 2 None = 1

Obeys Commands = 6

Localizes Pain = 5

Withdraws from Pian = 4

Decerebrate (Flexion) topain = 3

Cedorticate (Extension) toPain = 2

None =

TOTAL Glasgow Com a Score =_____