Chest Tramua Flashcards
Pneumothorax
Simple
Air leaked outside the lungs
Can be partial or complete collapse of the lungs
Most common causes rib fractures
Spontaneous pneumothorax
Lung collapses, without the involvement of trauma
Usually due to a bleep on the lungs
Rebirth, allowing her to escape the long and enter the pleural space
Marfan syndrome
Young, tall, males, who smoke 16-20 are most at risk
Spontaneous Pneumothorax
Signs and symptoms of pneumothorax
Subcutaneous emphysema
Decreased breath sounds
Unilateral chest rise
Open pneumothorax/ sucking chest wound
Penetrating wound through chest wall
Air in the personal space not in the lung
Bubbling air from the open wound
Treatment for open pneumothorax
Occlusive dressing tape on all four sides
Ascherman chest seal
O2
Iv
ECG
Tension Pneumothorax
May result from a simple, spontaneous or open
Aris able to enter the pearl space, but not leave. This causes a complete lung collapse
Puts pressure on mediastinum and opposite lung
Mediastinum
Centre of the lungs
Signs and symptoms of tension pneumothorax
Jvd
Absence lung sounds on 1 side
Increased work of breathing
Loss of radial pulse
Tracheal deviation very late dead sign
Treatment for tension pneumothorax
Sc
Close needle decomposition …. Advanced care only.
Hemothorax
Blood in pleural space
How many can each thoracic cavity hold
3000cc of blood
Considered a massive hemothorax at what
1000ml
True or false is there jvd, tracheal deviation, r ventricular pressure with a massive hemothorax
False
Hemothorax pneumothorax
Blood and air in plural space
Usually due to external trauma
Same signs and symptoms as a simple hemothorax
Chest tube
Advance skill
I will large floor attic catheter through the pleural space to release air/blood inserted in the second intercostal space mid clavicle for air or fifth interCostal space midaxillary for blood
Flail chest
No treatment for flail chest, but should use peep
Two or more broken ribs in two or more places
Paradox, motion
Can lead to tension pnuemotharx
Aortic dissection
Most common cause of immediate death in mVcs
Usually caused by deceleration injury’s
Pulmonary contusion
Common chest injury resulting from blunt force
Can mimic cardiac chest pain
Cardiac contusion
Often associated with other chest injuries
Is Lethal
Basically the same as a mI
Assume all patients who applied force chest trauma, have a cardiac contusion, unless proven otherwise
Minute cardiac chest pain
ECGs can mimic AMI
Diaphragmatic tear
Complete or partial
Voluntary or involuntary
Happens to the blunt force, trauma, or enter adomino pressure
May allow enter Avenue organs to enter the thoracic cavity
Herna
Organs or where they’re not supposed to be
Signs and symptoms of a diaphragm tear
Bowel sounds in the thorax
Do you take spinal motion restriction with isolated, penetrating, trama trauma
No
Where are the three places you see JVD
Right heart failure
Tension pnemo lung sounds
Pericardial tamp no lung sounds
Pericardial tamponade
Sac around the heart becomes filled with blood paraicaral sac
plus paradoxis each breath in the past disappears
Becks triad
Lower bp
Jvd
Muffed heart sounds
Pulses paradoxus
Each breath in Pulse is disappear put more pressure on the ballon around the heart
Pulses pressure
pulse pressure is where your pulse pressure is 1/4 or less of your systolic pressure
Paradoxical motion
The chest rises opposite to what it should while breathing in and out
