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Doctor insights on: Hemothorax In Children

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What is hemothorax?

What is hemothorax?

Definition...: Hemothorax is when there is blood in the space between the lining of the lung and the lining of the chest wall cavity. ...Read more

Dr. Victor Morell
152 doctors shared insights

Hemothorax (Definition)

The lungs are surrounded by a thin tissue or membrane called pleura. When fluid enters the "pleural space" it's called a pleural effusion or hydrothorax. If blood is the fluid it is called a hemothorax. Usually this is due to an injury If there is respiratory distress the fluid needs ...Read more


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How is hemothorax diagnosed?

How is hemothorax diagnosed?

Listen and tap: Fluid in pleural space established clinically by decreased breath sounds and dullness to percussion of the affected area. Cxr will demonstrate pleural fluid, but to know what kind of fluid it is important to insert a needle and look at it directly. ...Read more

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What are the tests for hemothorax?

% of red cells in th: You have to aspirate the fluid, if it id bloody or red & do a hematocrit or the percentage of red cells in the fluid, then can make the diagnosis of hemothorax. ...Read more

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Recovery for a massive hemothorax?

Inadequate info: Depends on underlying cause, patient's age & associated medical conditions, response to ongoing treatments etc. Please discuss it with your treating physician. ...Read more

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What are the symptoms of a hemothorax?

Several: Chest pain, shortness of breath, cough & secondary effects of blood loss (such as lightheadedness, dizziness, fast heart beat, pale color, cold clammy extremities, feeble pulses etc.). The extent and severity of symptoms depends upon the size of the hemothorax and its cause. Please talk to your doctor if you have any concerns. ...Read more

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Recovery time for a massive hemothorax?

Recovery time for a massive hemothorax?

That depends: We would need more information. Was this from trauma? Were there other injuries? What do you mean by massive? How much blood loss? Surgery?
More details would allow for the response you need. ...Read more

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What symptoms does someone with hemothorax have?

What symptoms does someone with hemothorax have?

Short of breath: Hemothorax means 'blood surrounding the lung'. Invariably, hemothroax is caused by a major trauma to the rib cage. Multiple rib fractures can bleed (internally) into the pleural space causing the 'hemothorax' which can produce symptoms of: shortness of breath and pain. Usually the blood is drained through a 'chest tube' placed into to pleural space. The prodecure is done by er doctor or surgeon. ...Read more

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What is hemothorax & what are the main causes of it?

Hemo = blood.....: Thorax = chest.
Blood filling the chest cavity usually caused by penetrating trauma but can be due to blunt injury with a rib fracture or aortic tear. Can also be due to ruptured artery aneurysm (rare).
Cause of death secondary to lung compression and Great Vessel compression ...Read more

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What things affect the chances of getting hemothorax?

Trauma: The most common cause of hemothorax is either blunt (e. G automobile accidents, falls, assault), or penetrating trauma to the chest (knife, gunshot, stabbed by a unicorn or gored by a rhinoceros). Rarely, hemothorax occurs when vessels in the chest are injured in the course of chest surgery or less invasive procedures done to drain fluid from, or biopsy something, in the chest. ...Read more

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What is the definition or description of: Hemothorax?

Hemothorax: The lungs are surrounded by a thin tissue or membrane called pleura. When fluid enters the "pleural space" it's called a pleural effusion or hydrothorax. If blood is the fluid it is called a hemothorax. Usually this is due to an injury If there is respiratory distress the fluid needs to be emergently removed ...Read more

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What are some recovery scenarios for a massive hemothorax?

Luck & good surgeon: Massive hemothorax is more than 1.5 Liters of blood in the chest. If from trauma and it is treated promptly with evacuation by a chest tube and surgery, if indicated, survival can be good, assuming the patient is alive when they arrive in the ER. Even cardiac injuries, which bleed into the chest, can be repaired successfully. Make no mistake, though, this is life-threatening. ...Read more

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I was wondering what are the options usually available to emts when a hemothorax is suspected?

Respiratory support: Although emts can't confirm or treat suspected hemothorax (need x-ray) they can support the patients breathing with oxygen or intubation (if needed) until they reach the hospital. ...Read more

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My daughter has hemothorax. What is it in a nutshell?

My daughter has hemothorax. What is it in a nutshell?

Blood: In a nut shell- not much, in the chest, it can be a problem (sorry, couldn't resist the set up line). Hemothorax is blood in the pleural space, and it can lead to big problems if the blood is not evacuated as completely as possible. It can be caused by trauma or by some medical procedures (e.g. Biopsies). Blood can "harden" around the lung, causing lost lung function and sometimes chronic infxn. ...Read more

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What is treatment for massive hemothorax?

What is treatment for massive hemothorax?

ABC ...: A. Make sure the patient has an open airway (may require breathing tube).
B. Make sure the patient can breathe. In case of a massive hemothorax, this involves draining the blood out of the chest with a tube so that the lung can expand and exchange gas.
C. Ensure adequate circulation. The patient may require fluid or blood resiscitation, as well as control of the bleeding.
That's just abc ... ...Read more

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What treatment is most used for hemothorax?

What treatment is most used for hemothorax?

Chest tube: Most often, placing a tube into the chest can drain the blood from the chest effectively. Most bleeding from chest injuries stops on its own. However, an operation may be required for ongoing bleeding, or when bleeding has stopped, but the blood hasn't been well drained. In the latter situation, many surgeons are able to performs minimally invasive chest surgery, called vats. ...Read more

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Md wants to treat hemothorax. What if I don't?

Trapped lung, BAD!: Blood in the thorax will essentially "harden" for lack of a better term, surround and trap the lung (like a thick leathery blanket wrapped around your otherwise healthy lung tissue, rendering it useless). This can lead to chronic infection, loss of lung function, and a significant impact on your quality of life. Hemothorax should be drained as completely and as quickly as possible. ...Read more

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What treatment is most used for a hemothorax?

Chest tube vs obs: It depends on the size of the hemothorax. Many will observe small hemothoraces not evident on chest xray. Larger hemothoraces require drainage, usually with a chest tube. ...Read more

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What is the difference between a hemothorax and a pneumothorax?

What is the difference between a hemothorax and a pneumothorax?

Air or blood: Pneumothorax is an accumulation of air outside your lung but inside your chest/ribcage. Hemothorax is an accumulation of blood outside your lung but inside your chest/ribcage. Both may be commonly described as "collapsed lung" because the air and/or blood in this space displaces your lung and prevents complete expansion of your lung. ...Read more

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When to thoracotomy when videothoracoscopy with hemothorax. If there are recommendations, please give a link to the article.

Either: Acute hemothorax may be solved with a chest tube alone.
If not then video assisted vats may suffice.
If it persists and is thick and not draining, then either vats may allow adequate visualization and suction drainage of the clot.
Some chronic thick, stuck clots may require open thoracotomy and decorticating of the fibrous peel.
Articles over the years and in trauma and military's. ...Read more

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Can seizures cause a spontaneous hemothorax?

Can seizures cause a spontaneous hemothorax?

Usually not: If you had a generalized convulsion and experienced trauma, such as a rib fracture, there might be a good explanation. However, if your epilepsy is well controlled, there needs to be a search for another explanation. ...Read more

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What are symptoms of hemothorax vs. Tension pneumothorax?

What are symptoms of hemothorax vs. Tension pneumothorax?

Chest pain: Hemothorax and tension pneumothorax will both present with chest pain and shortness of breath. Both can also present with severely low blood pressure. However, this can depend on the amount of blood lost in a hemothorax. Both are considered surgical emergencies and need to be treated. ...Read more

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If a patient with a hemothorax stops breathing, what should you do?

Transport trauma Ctr: Ambubag pt. until help arrives
At the trauma Ctr. He'll be intubated and Chest Tube placed low and lateral on the side of the hemothorax.
Don't try this at home kids ...Read more

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What happens if a patient with a hemothorax stops breathing, what do you do?

What happens if a patient with a hemothorax stops breathing, what do you do?

Drain: If a patient with a hemothorax stops breathing, the blood in the chest needs to be immediately drained with a chest tube. ...Read more

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So why is hemothorax more associated with a higher mortality rate than pneumothorax?

So why is hemothorax more associated with a higher mortality rate than pneumothorax?

Major organ damage: A hemothorax is when bleeding occurs in the chest cavity collapsing the lung. This suggests significant injury to lung, heart, or major vessels in chest cavity. A pneumothorax can be severe and life threatening as well but can occur with very little trauma to the lung. It is easily managed with a chest tube. ...Read more

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What is the differential diagnosis of hemothorax vs. Tension pneumothorax?

What is the differential diagnosis of hemothorax vs. Tension pneumothorax?

What is in the chest: Tension pneumothorax occurs when air under pressure fills the space around the lung. This can compress the heart and impede blood from entering the heart. Hemothorax occurs when blood is filling the space around the lungs. You can have both air and blood in your chest. Both conditions can be dangerous and require management by a physician. ...Read more