CHEST INJURIES

Question 0

WHAT IS THE GENERAL Rx FOR CHEST INJURIES

Answer 0

• O2 IF INDICATED
• PAIN RELIEF
• POSITION PT UPRIGHT IF POSSIBLE

Question 1

TYPES OF CHEST INJURIES

Answer 1

TRAUMATIC
SPONTANEOUS
IATROGENIC

Question 2

HOW DO YOU Rx FLAIL SEGMENT/RIB #’S

Answer 2

VENTILATORY SUPPORT IF DECREASED VT

Question 3

HOW DO YOU Rx AN OPEB CHEST WOUND

Answer 3

3 SIDED STERILE OCCLUSIVE DRESSING

Question 4

WHAT IS A PNEUMOTHORAX

Answer 4

AN ABNORMAL COLLECTION OF AIR/GAS/BLOOD IN THE PLEURAL SPACE THAT SEPARATES THE LUNG FROM THE CHEST, AFFECTING NORMAL BREATHING

Question 5

WHAT IS THE CRITERIA FOR A SIMPLE PNEUMOTHORAX

Answer 5

ANY OF THE FOLLOWING:

• UNEQUAL BREATH SOUNDS IN THE SPONTANEOUSLY BREATHING PT
• LOW SPO2 ON ROOM AIR
• SUBCUTANEOUS EMPHYSEMA ( swelling of tissues due to air tracking along tissue planes - palpation= tissue paper feeling)

Question 6

WHAT IS THE CRITERIA FOR A TENSION PNEUMOTHORAX

Answer 6

CRAPIST
CHEST TRAUMA
RESPIRATORY DISTRESS
ALTERED CONSCIOUS STATE
POOR PERFUSION
INCREASED JVP
SUBCUTANEOUS EMPHYSEMA
TRACHEAL SHIFT
STIFF BAG

Question 7

INSERTION SITE FOR CANNULA (TPT)

Answer 7

SMART - AMBO  14g Cannula
SECOND INTERCOSTAL SPACE
MID CLAVICULAR LINE 
ABOVE THIRD RIB
RIGHT ANGLE TOWARDS CHEST
TOWARDS THE SPINE
--> CHECK W AMBO