Adult Chest Injuries

Question 1

SMART

Answer 1

second intercostal space
mid clavicular line (avoiding medial placement)
above rib (3) below (avoiding neurovascular bundle)
right angle to chest
towards vertebral body

Question 2

Simple Pnemothorax

Answer 2

Unequal breath sounds
SpO2 <92% RA
Subcutaneous emphysema

Question 3

TPT signs

Answer 3

incr resp distress
spo2 <92% regardless of o2
decreased conscious state
poor perfusion or incr HR decr BP
Stiff bag or increased peak inspiratory pressure on ventilator
decr ETCO2
incr JVP (distended jugular vein)
tracheal shift

Question 4

Types of chest injury

Answer 4

spontaneous
traumatic
iatrogenic