CSB:
Unsure of the wet paper bag term. A quick Googleing did not reveal any reference. Interestingterm and would certainly fit into this scenario.
I am certain the heart view of his FAST was negative because the pericardium was essentially fused to the heart - so when his ventricle blew, it blew the pericardium out as well thereby not allowing blood between the pericardial sac and the the heart itself (going directly into the chest vs the pericardium). Violated pericardium - no tamponade.
*Disclaimer*
FAST IS EXTREMELY OPERATOR DEPENDENT
I have not ever seen a hemothorax from the Splenorenal recess (LLQ US) but I have never looked for one eithe. Perhaps I should start  . Something I will read on for certain. Thanks Patriot.
In the absence of Chest X-Ray (especially with the advent of US in the forward environment) a pneumothorax can readily be diagnosed with the "beach sign" or "lightning sign" indicating the visceral and parietal pleura interacting with one another - absence this sign indicates that there is air between the two pleura.
An excellent app which I recommend to my students is RESUS-US for those who are interested.
__________________
Primum non Nocere
"I have hung out in dangerous places a lot over the years, from combat zones to biker bars, and it is the weak, the unaware, or those looking for it, that usually find trouble.
Ain't no one getting out of this world alive. All you can do is try to have some choice in the way you go. Prepare yourself (and your affairs), and when your number is up, die on your feet fighting rather than on your knees. And make the SOBs pay dearly."
The Reaper-3 Sep 04
Last edited by Eagle5US; 05-07-2019 at 08:56.
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