Chapter 30: Chest trauma

Question 1

What level of spinal iinjury will damage breathing?

Answer 1

Spinal injury above C3

Question 2

What level of spinal injury will cause paralysis?

Answer 2

Below C5

Question 3

What are the signs of chest trauma?

Answer 3

Contusion, redness, swelling, DCAP-BTLS, pain on palpation, hemoptysis, failure to expand, shock signs and sympotoms

Question 4

What are the deadly dozen?

Answer 4

Airway obstruction, bronchial disruption, diaphragmatic tear, esophageal injury, open pneumothorax, tension pneumothorax, massive hemothorax, flail chest, cardiac tamponade, thoracic aortic dissection, myocardial contusion, pulmonary contusion

Question 5

What are risk factors of pneumothorax?

Answer 5

Collapsed lung, tall thin individuals and smokers

Question 6

What is Beck’s triad, what is it an indication of, and what do you need?

Answer 6

JVD, muffled heart sound, low blood pressure,
Cardiac tamponade! You need BVM and ALS

Question 7

What can a rib fracture cause and what indicates it?

Answer 7

It can cause open/tension pneumothorax or hemothorax
Pain with breathing is an indicator

Question 8

What can indicate traumatic asphyxia?

Answer 8

Cyanosis in ace and neck and hemorrhage in eyes

Question 9

What is commotio cordis?

Answer 9

When blunt trauma comes at just the wrong time to stop the heart from beating

Question 10

Below what blood pressure are pedal/radial pulses absent?

Answer 10

80 mmHg

Question 11

What set of vitals indicate Cushings triad?

Answer 11

High blood pressure and slow pulse