15 - Face and Neck Injuries / Chest Injuries Flashcards
Which part of the ear is a small, rounded, fleshy bulge immediately anterior to the ear canal?
Tragus
Patients with spinal cord injuries at or below C5 may experience what complication? (in conjunction with possible paralysis)
They may lose the ability to use intercostal muscles to breathe. But the diaphragm still will contract alone until C3 or above.
The clear, jellylike fluid near the back of the eyes is called: The clear fluid in front of the lens is called:
Aqueous humor - Water like fluid that liars in from of the lens
Vitreous humor - Gel-like substance that lies behind the lens and in front of the retina
During your treatment of a patient with several sucking chest wounds you only have one vented chest seal in your equipment bag. Describe the most effective way to manage the remaining sucking chest wounds.
Create a seal on each wound by taping an occlusive bandage or other material on three sides of the wound. Leaving the fourth side open to breathe.
In this scenario, you should be observing for the potential to develop into a Pneumothorax
A 22-year-old patient was the victim of an assault. Your assessment reveals a bruise over the sternum with paradoxical motion noted on the left chest and the pulse is irregular. What is your working diagnosis?
Flail chest (1098)
While performing CPR on a 12-year-old cardiac arrest patient your partner tells you that the patient was struck in the chest by a baseball that was traveling at a high rate of speed. What is your working diagnosis?
Commotio cordis
Which muscle adjusts the size of the opening to regulate the amount of light that enters the eye.
Iris
You are performing a reassessment of a patient who was shot in the anterior chest. As you reevaluate your placement of an occlusive dressing, you noticed that the patient is now complaining of increasing respiratory distress and is now showing signs of AMS.
What should your next action be? (explain the patient’s new findings for extra credit)
Give the patient O2 via BVM Rapid transport to the ER
Developing into a Tension Pneumothorax
Remove occlusive dressing and allow air to escape
(1103)
What is the function of the inner ear? What is located in the inner ear?
The inner ear contains that control sound and balance
Cochlea
Vestibular system
What structure, located within the retina, transmits nerve impulses to the brain?
Optic nerve
You are treating a patient who was in a bar fight, there are multiple injuries to the face and head. While examining the eyes you notice the patient states seeing flashing lights and the vision is cloudy. You should suspect:
Detached retina
Which nerves to the diaphragm are responsible for breathing? They exit the spinal cord at what level?
Phrenic nerve
C3 to C5
A 24-year-old was an unrestrained driver of a car that hit a tree at a high rate of speed. The patient is ℅ difficulty breathing and chest pain. Your assessment reveals a bruise over the sternum with crackles on auscultation, a RR of 38, HR of 120, BP of 130/78 and an SpO2 is 93%. You working diagnosis is:
Pulmonary contusion or Simple Pneumothorax
Check answer
The treatment for the above patient should include:
You are treating an unconscious patient who was an unrestrained driver in an MVA. There are multiple injuries to the face and head. The patient is experiencing trismus and central neurogenic hyperventilation, the pupils are unequal, there is epistaxis and blood on the outer part of the ear. What is your working diagnosis? What is your treatment for this patient?
