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Clinical Practice

3 Lies and a Truth-mediastinal Anatomy and Its Correlation to Clinical Pathology

Monday, October 23, 2023
14:00 – 15:00 East Coast USA Time
Location: Room A122/123
Disclosure(s):
Jeffrey J. Thomas, RN/BSN/NREMT-P/CCRN/CFRN: No financial relationships to disclose
Mediastinal pathology is concurrently subtle and overt. Hemodynamics have beat to beat variability, multiple organs are simultaneously failing and the patient’s symptoms may be masked by other or simultaneous medical pathologies. In this case based presentation, we will discuss the anatomical, diagnostic and treatment aspects of critical care transport when differentiating, treating and transporting critically ill patients with disease processes occurring in the “middle” thorax.

Learning Objectives:

  • Distinguish the clinical context of fluid collections utilizing diagnostic CT imaging and software.
  • State the 3 areas of mediastinal anatomy (ITMIG Definition of Mediastinal Compartments).
  • Reconcile the imperative of patients to be "just north of syncope" and maintain core perfusion when caring for patients with mediastinal pathologies.