{"id":6377,"date":"2018-03-17T04:04:52","date_gmt":"2018-03-17T03:04:52","guid":{"rendered":"http:\/\/news-papers.eu\/?p=6377"},"modified":"2017-12-27T20:42:22","modified_gmt":"2017-12-27T19:42:22","slug":"fail-chest","status":"publish","type":"post","link":"https:\/\/news-papers.eu\/?p=6377","title":{"rendered":"&#8222;Flail chest&#8220; &#8211; Der instabile Thorax"},"content":{"rendered":"<p><iframe loading=\"lazy\"  id=\"_ytid_23319\"  width=\"1170\" height=\"658\"  data-origwidth=\"1170\" data-origheight=\"658\" src=\"https:\/\/www.youtube.com\/embed\/pdhOiaE5uyg?enablejsapi=1&#038;autoplay=0&#038;cc_load_policy=0&#038;cc_lang_pref=&#038;iv_load_policy=1&#038;loop=0&#038;rel=1&#038;fs=1&#038;playsinline=0&#038;autohide=2&#038;theme=dark&#038;color=red&#038;controls=1&#038;disablekb=0&#038;\" class=\"__youtube_prefs__  epyt-is-override  no-lazyload\" title=\"YouTube player\"  allow=\"fullscreen; accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen data-no-lazy=\"1\" data-skipgform_ajax_framebjll=\"\"><\/iframe><\/p>\n<p style=\"text-align: justify;\">Im Rahmen eines Bodychecks muss auf einen instabilen\u00a0Thorax geachtet werden (z. B. \u201eflail chest\u201c im\u00a0Rahmen einer Rippenserienfraktur) (s. <a href=\"https:\/\/www.youtube.com\/watch?v=pdhOiaE5uyg\" target=\"_blank\" rel=\"noopener\"><strong>Video<\/strong><\/a>). Zur Evaluation des Patienten mit Thoraxtrauma geh\u00f6rt auch die Auskultation der Lunge (z.B. Identifizierung Pneumo- und H\u00e4matothorax).\u00a0Bei schwerwiegenden Rippenserienfrakturen\u00a0bzw. einem instabilen Thorax (\u201eflail chest\u201c) droht die pulmonale Insuffizienz, hier ist dann\u00a0fr\u00fchzeitig eine endotracheale Intubation und Beatmung indiziert (\u201einnere Schienung\u201c). Auch muss darauf geachtet werden, dass bei diesen\u00a0Patienten auf jeden Fall auf der betroffenen Seite eine Pleuraraumentlastung mittels Minithorakotomie und Einlage einer Thoraxdrainage durchgef\u00fchrt wird.<\/p>\n<p><strong>Literaturempfehlung:\u00a0<\/strong><\/p>\n<blockquote><p><strong>M\u00fchling B et al. \u00a0Stumpfes und penetrierendes\u00a0Thoraxtrauma. \u00a0Chirurg 2017\u00a0DOI 10.1007\/s00104-017-0470-8<\/strong><\/p><\/blockquote>\n<hr \/>\n<p><strong><a href=\"https:\/\/twitter.com\/news_papers_eu?refsrc=email&amp;s=11\" target=\"_blank\" rel=\"noopener noreferrer\">News-Papers.eu auf TWITTER<\/a>\u00a0 \u00a0\u00a0<a href=\"http:\/\/news-papers.eu\/follow\" target=\"_blank\" rel=\"noopener noreferrer\">Follow news-papers.eu<\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Im Rahmen eines Bodychecks muss auf einen instabilen\u00a0Thorax geachtet werden (z. B. \u201eflail chest\u201c im\u00a0Rahmen einer Rippenserienfraktur) (s. Video). Zur Evaluation des Patienten mit Thoraxtrauma geh\u00f6rt auch die Auskultation der [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":6380,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"__cvm_playback_settings":[],"__cvm_video_id":"","jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[6],"tags":[1262,39],"class_list":["post-6377","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-trauma","tag-fail-chest","tag-trauma"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/01\/Bildschirmfoto-2017-11-22-um-21.58.18-e1511384328255.png?fit=300%2C170&ssl=1","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p7fR2g-1ER","jetpack-related-posts":[{"id":15084,"url":"https:\/\/news-papers.eu\/?p=15084","url_meta":{"origin":6377,"position":0},"title":"E-FAST zu Diagnose des Pneumothorax beim Trauma-Patienten \u2013 wirklich so gut?","author":"Michael Bernhard","date":"Februar 8, 2022","format":false,"excerpt":"Ein Beitrag von PD Dr. J\u00fcrgen Knapp, Schweiz: Die fr\u00fchzeitige Diagnose bzw. der Ausschluss eines Pneumothorax beim Trauma-Patienten ist essentiell f\u00fcr die Entscheidung zur weiteren Versorgungsstrategie. 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Jedem, der regelm\u00e4\u00dfig Ultraschall im Schockraum anwendet, f\u00e4llt aber\u2026","rel":"","context":"In &quot;Trauma&quot;","block_context":{"text":"Trauma","link":"https:\/\/news-papers.eu\/?cat=6"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/03\/Pneumoni3.png?fit=958%2C1024&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/03\/Pneumoni3.png?fit=958%2C1024&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/03\/Pneumoni3.png?fit=958%2C1024&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/03\/Pneumoni3.png?fit=958%2C1024&ssl=1&resize=700%2C400 2x"},"classes":[]},{"id":3963,"url":"https:\/\/news-papers.eu\/?p=3963","url_meta":{"origin":6377,"position":1},"title":"Mehrwert durch Thorax-CT nach R\u00f6ntgenthorax?","author":"Michael Bernhard","date":"Juni 14, 2017","format":false,"excerpt":"Was ist die beste Bildgebung in der Notfallmedizin? 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Gezer und Kollegen aus der T\u00fcrkei untersuchten nun den Mehrwert eines Thorax-CT im Vergleich zu einer konventionellen R\u00f6ntgenaufnahme des Brustkorbs bei nicht-traumatologischen Patienten:\u2026","rel":"","context":"In &quot;Bildgebung&quot;","block_context":{"text":"Bildgebung","link":"https:\/\/news-papers.eu\/?cat=853"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/04\/Bildschirmfoto-2017-03-05-um-08.34.11-279x300.png?resize=350%2C200","width":350,"height":200},"classes":[]},{"id":13119,"url":"https:\/\/news-papers.eu\/?p=13119","url_meta":{"origin":6377,"position":2},"title":"&#8222;VU &#8211; eingeklemmt&#8220;","author":"Bj\u00f6rn Hossfeld","date":"Februar 19, 2021","format":false,"excerpt":"EIn Beitrag von J\u00fcrgen Knapp, Bern \u00a0\u00a0\u00a0\u00a0\u00a0 Jeder von uns kennt diese Einsatzmeldung, die in der Regel sehr viel Stress und Belastung f\u00fcr das ganze Team (Feuerwehr, Rettungsdienst und Polizei) bedeutet. 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Traditionell waren die RTH-Kabinen auch viel zu\u2026","rel":"","context":"In &quot;Atemwegsmanagement&quot;","block_context":{"text":"Atemwegsmanagement","link":"https:\/\/news-papers.eu\/?cat=3"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/03\/C-MAC-PM-II-pra%CC%88hopsital-01-scaled.jpg?fit=1200%2C900&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/03\/C-MAC-PM-II-pra%CC%88hopsital-01-scaled.jpg?fit=1200%2C900&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/03\/C-MAC-PM-II-pra%CC%88hopsital-01-scaled.jpg?fit=1200%2C900&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/03\/C-MAC-PM-II-pra%CC%88hopsital-01-scaled.jpg?fit=1200%2C900&ssl=1&resize=700%2C400 2x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/03\/C-MAC-PM-II-pra%CC%88hopsital-01-scaled.jpg?fit=1200%2C900&ssl=1&resize=1050%2C600 3x"},"classes":[]},{"id":1056,"url":"https:\/\/news-papers.eu\/?p=1056","url_meta":{"origin":6377,"position":4},"title":"S3 Leitlinie: Ambulant erworbene Pneumonie: Die Fakts Teil 3","author":"Michael Bernhard","date":"April 20, 2016","format":false,"excerpt":"Nach Teil 1&2 der Fakts zur S3 Leitlinien\u00a0\"Ambulant erworbenen Pneumonie\"\u00a0geht es nun im 3. 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D.h. es\u2026","rel":"","context":"In &quot;Ambulant erworbene Pneumonie&quot;","block_context":{"text":"Ambulant erworbene Pneumonie","link":"https:\/\/news-papers.eu\/?cat=146"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/03\/Pneumoni3.png?fit=958%2C1024&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/03\/Pneumoni3.png?fit=958%2C1024&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/03\/Pneumoni3.png?fit=958%2C1024&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/03\/Pneumoni3.png?fit=958%2C1024&ssl=1&resize=700%2C400 2x"},"classes":[]},{"id":8384,"url":"https:\/\/news-papers.eu\/?p=8384","url_meta":{"origin":6377,"position":5},"title":"Reanimation bei traumatischem Herzkreislaufstillstand","author":"Michael Bernhard","date":"Dezember 10, 2018","format":false,"excerpt":"In der Zeitschrift Notfallmedizin Up2ate ist in den letzten Tagen eine interessante und lesenswerte \u00dcbersicht zum Thema \u201eReanimation bei traumatischem Herz-Kreislauf-Stillstand\u201c als CME Beitrag erschienen. 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