ATLS and Chest tubes Flashcards
1
Q
ABCDE of ATLS
A
Airway with C-spine protection Breathing Circulation, stop the bleeding Disability or neurological status Exposure (un-dress the patient) and Environmental (temperature control of the room)
2
Q
Primary survey vs Secondary survey
A
Pri: 10 sec, who what where, ABCDE
Sec: After primary AMPLE
A SECONDARY SURVEY SHOULD NOT INTERFERE WITH A PRIMARY SURVEY, WHICH TAKES FIRST PRIORITY.
3
Q
ABC’s of reading X-rays
A
A-airway B-bone C-cardiac D-diaphragm E&F-equal (lung) fields G-gastric bubble H-hilum (and mediastinum)
4
Q
Where do you do needle decompression?
A
2nd ICS MCL just above 3rd rib
5
Q
Where do you place a chest tube?
A
4th or 5th ICS anterior to mid axillary line of affected side
6
Q
What is the next step in this patient’s care after needle decompression?
A
Chest tube
7
Q
What is another complication of a chest injury?
A
ARDS Pulmonary contusion leading to ARDS and possible mechanical ventilation Aortic injury Bronchial tree injury Pericardial effusion
8
Q
Indications for a chest tube
A
Post Needle decompression Hemothorax Fluid Pus (empyema) Air
9
Q
How to determine which French catheter size to use
A
F= D(mm) x 3
10
Q
What is “fogging” of the chest tube
A
respiration - means your IN
