Adult Chest injury Flashcards
1
Q
What do all patients with with chest injury get?
A
- Position sitting upright
- Oxygen
- Pain Relief
2
Q
What are signs of a Pneumothorax?
A
- Unequal breath sounds
- Subcutaneous Emphysema
- SpO2 <92% on room air
3
Q
What are the three mechanisms that can cause a Pneumothorax?
A
- Iatrogenic
- Trauma
- Spontaneous
4
Q
How do you manage a Pneumothorax?
A
- Monitor Closely for deterioration
- Do not occlude open pneumothorax
- Apply standard dressing if significant haemorrhage
5
Q
What are signs of a Tension Pneumothorax?
A
- Suspected Pneumothorax
- Inadequate perfusion
- Increasing respiratory distress
- SpO2 <92% despite Oxygen
- Increased peak inspiratory pressure/stiff bag
- Decrease ETCO2
6
Q
Signs of a Peri-arrest tension pneumothorax and management
A
- Responsive to pain/unresponsive AND
- SBP <70
Rx - Needle Thoracostomy
7
Q
What 4 pathologies does the Chest injury CPG cover?
A
- Rib Fractures (Flail Segments)
- Pneumothorax
- Haemothorax
- Tension Pneumothorax
