Interesting Case Presentation

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Presentation transcript:

Interesting Case Presentation 28 June 2012

Echo TTA after a rollover MVC @ 70mph, unrestrained Pt was initially evaluated at an OSHx and transferred to MCV He was found to have a small left pneumothorax on CXR at OSHx prior to transfer

PMH: MI, HTN PSH: None Meds: HCTZ, Metoprolol ALL: NKDA 157/100 120 26 92% on 3L NC Chest- CTA B, extensive sub-q air on left chest and left neck C-spine, t-spine, l-spine tenderness

Pt was extubated on POD#1, and received vaccinations Was started on a diet POD#6 Currently ambulating with PT and tolerating a diet

Splenic Injury Often heralded by left sided rib fractures Splenectomized patients are at risk for OPSI Most recent literature supports non-operative management for patients who are hemodynamically stable with lower grade injuries Operative splenectomy is indicated for hemodynamic instability and unsalvageable injury (Grade IV or V) injury

Splenic Injury

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