Chapter 10: Thoracic Trauma Flashcards
Each pleural space can accommodate approximately how much fluid
3000 ml
Multisystem organ failure accounts for ___% of trauma deaths that result from thoracic injury
25%
Rib fractures occur most often in ribs __ to __ laterally
4 to 8
Primary goal in the initial management of the patient with rib fractures
Pain relief
Management of flail chest is directed toward
Pain relief, ventilatory support, and monitoring for deterioration
Hemothorax
Occurs when blood enters the pleural space
The normal adult pericardium may be able to accommodate ___ ml of fluid before pulselessness occurs
300 ml
Most often cardiac tamponade is caused by?
A stab wound to the heart
Beck’s triad
Muffled heart sounds, JVD, hypotension
Most common rhythm in commotio cordis
V-Fib
What is the most common projectile in commotio cordis
Baseball
The most reliable sign in a chest x-ray for the patient with Traumatic aortic disruption
Widening of the mediastinum
The pulse quality may be different between the upper extremities or between upper and lower extremities in the presence of
Aortic disruption
Condition in which the intrathoracic portion of the trachea itself or one of the mainstem or secondary bronchi is disrupted
Tracheobronchial disruption
Needle decompression should be performed when the following three criteria are met
- Respiratory distress or difficulty with a BVM device
- Decreased or absent breath sounds
- Decompensated shock SBP <90
