Massive hemothorax

  • Accumulation of >1.5L of blood
  • Cause: Disruption of large vessel
  • Flat neck vein
  • Dullness on percussion
  • No breath sound on auscultation
  • Shock
  • Management: - Chest tube in 5th space.
    - Fluid resuscitation.
    - Thoracotomy if significant bleeding continues.