chest emergencies Flashcards
medical emergency diagnosis
chief complaint
quality of pain
referred pain location
extra symptoms (vitals/ skin)
Aortic dissection
Aorta ruptures
(Sharp/ tearing chest pain
referred pain between scapulas, diffident bp in each arm
Hypovolemic symptoms)
Myocardial infarction (MI)
Atherosclerosis- blockage in coronary arteries
( crushing/ squeezing chest pain
Referred pain to jaw/left shoulder
SOB
Diaphoretic
Hypertensive
Tachycardia (bounding)
N/V
Hypovolemic symptoms
(Low blood volume)
Altered mental status
Diaphoretic
Hypertensive
Tachycardia (thready)
Congestive heart failure
(CHF)
left sided heart failure
SOB
pulmonary edema
Rales/ crackles
Pink frothy sputum
Hypertensive
Dry/ flushed skin
Pedal edema
Pericardial tamponade
Sac around heart (pericardium) fills with fluid
Becks triad
Muffled heart sounds
Narrow pulse pressure
Hypertension
JVD
Pulmonary embolism
Clot in the blood vessels of lungs
Parietal unilateral chest pain
SOB
acute onset
High risk in immobile patients
Flail chest
Multiple rib fractures in multiple places
Paradoxical breathing
Pattern with opposite chest wall movement of a section of the chest
Sucking chest wound
Penetrative wound to thoracic cavity
3 sided occlusive dressing
Prevent pneumothorax
Pneumothorax
Collapsed lung
Unequal/ unilateral chest raise/fall
Absent lung sounds on 1 side
SOB
Hyperresonance
Tracheal deviation
Simple
Tension= air
JVD
Hemo
Blood
Hypovolemic symptoms
Dull percussions
Open
Puncture to thoracic cavity
Spontaneous
Unprovoked rupture
(Tall white male)
Pneumonia
Infection in lungs
Parietal chest pain
Worse on inhalation
SOB
fever
Ronchi
Productive cough- yellow/ green
