Welcome. My name is Divine. This is episode 578 of the Divine Intervention Podcasts.

In today's podcast, we're going to be continuing the series on quick and dirty emergency medicine for the USMLSs.

Quick and dirty emergency medicine for the USMALs. This is going to be part four.

So let's jump right into it. So what if they give you a question about a 27 year

old male and you're told that this person, you know, 30 minutes ago was in a mood of equal accident

and that this person has been complete enough like chest pain and the person is a profoundly

shot of breath. And then they tell you that you see

interstitial opacities on a chest x-ray. And you also notice that the patient's P.A.O.2 is low.

What should you be thinking about in this circumstance? Well, I hope you're saying,

O'Divine, this sounds a lot like a pulmonary contusion.

Pomerary contusion.

Now, I'm going to talk about this, but one thing I want to say is that our friends at the

NBM is they are very smart.

And as you've seen me see many podcasts, one thing they love to do is to take what you know

and put it in different words.

Put it in different words. it in different words so sometimes on your exams instead of calling this pulmonary contusion they can call this like blunt pulmonary injury

blunt pulmonary injury right so this is basically like blunt forced trauma to the chest right and they may even say oh what is the

you know you know what's the most appropriate next step in management honestly this person just

needs supplemental oxygen right and they also need to be monitored right this is again like

blunt force trauma to the to the pulmonary parincoma basically right you know so these

people just need supportive care you can give them if their hypoxe give them supplemental oxygen right

and you just want to monitor their oxygen labs basically right oxygen labs you know you may

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