Hemothorax echocardiography or ultrasound

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Irfan Dotani Joanna Ekabua, M.D. [2]

Overview

Radiological examination is the key for accurate identification of the source of bleeding. Ultrasonography may be helpful in the diagnosis of hemothorax. In lung ultrasonography, hemothorax is diagnosed as a dependent dark zone free of echo.

Ultrasound

Dependent dark zone free of echo. Echo shows a sensitivity of 67% and specificity 99%. These values are higher when performed by an ER physician.^[1]
Thoracic spine sign^[2]

References

↑ Rahimi-Movaghar V, Yousefifard M, Ghelichkhani P, Baikpour M, Tafakhori A, Asady H; et al. (2016). “Application of Ultrasonography and Radiography in Detection of Hemothorax; a Systematic Review and Meta-Analysis”. Emerg (Tehran). 4 (3): 116–26. PMC 4902204. PMID 27299139.
↑ Ahmed AA, Martin JA, Saul T, Lewiss RE (2014). “The thoracic spine sign in bedside ultrasound. Three cases report”. Med Ultrason. 16 (2): 179–81. doi:10.11152/mu.201.3.2066.162.aara1. PMID 24791852.

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[pmid27299139-1] Rahimi-Movaghar V, Yousefifard M, Ghelichkhani P, Baikpour M, Tafakhori A, Asady H; et al. (2016). “Application of Ultrasonography and Radiography in Detection of Hemothorax; a Systematic Review and Meta-Analysis”. Emerg (Tehran). 4 (3): 116–26. PMC 4902204. PMID 27299139.

[pmid24791852-2] Ahmed AA, Martin JA, Saul T, Lewiss RE (2014). “The thoracic spine sign in bedside ultrasound. Three cases report”. Med Ultrason. 16 (2): 179–81. doi:10.11152/mu.201.3.2066.162.aara1. PMID 24791852.

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