Chest Tramua Flashcards

1
Q

Pneumothorax

A

Simple
Air leaked outside the lungs
Can be partial or complete collapse of the lungs
Most common causes rib fractures

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2
Q

Spontaneous pneumothorax

A

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

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3
Q

Marfan syndrome

A

Young, tall, males, who smoke 16-20 are most at risk
Spontaneous Pneumothorax

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4
Q

Signs and symptoms of pneumothorax

A

Subcutaneous emphysema
Decreased breath sounds
Unilateral chest rise

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5
Q

Open pneumothorax/ sucking chest wound

A

Penetrating wound through chest wall
Air in the personal space not in the lung
Bubbling air from the open wound

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6
Q

Treatment for open pneumothorax

A

Occlusive dressing tape on all four sides
Ascherman chest seal
O2
Iv
ECG

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7
Q

Tension Pneumothorax

A

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

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8
Q

Mediastinum

A

Centre of the lungs

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9
Q

Signs and symptoms of tension pneumothorax

A

Jvd
Absence lung sounds on 1 side
Increased work of breathing
Loss of radial pulse
Tracheal deviation very late dead sign

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10
Q

Treatment for tension pneumothorax

A

Sc
Close needle decomposition …. Advanced care only.

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11
Q

Hemothorax

A

Blood in pleural space

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12
Q

How many can each thoracic cavity hold

A

3000cc of blood

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13
Q

Considered a massive hemothorax at what

A

1000ml

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14
Q

True or false is there jvd, tracheal deviation, r ventricular pressure with a massive hemothorax

A

False

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15
Q

Hemothorax pneumothorax

A

Blood and air in plural space
Usually due to external trauma
Same signs and symptoms as a simple hemothorax

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16
Q

Chest tube

A

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

17
Q

Flail chest

A

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

18
Q

Aortic dissection

A

Most common cause of immediate death in mVcs
Usually caused by deceleration injury’s

19
Q

Pulmonary contusion

A

Common chest injury resulting from blunt force
Can mimic cardiac chest pain

20
Q

Cardiac contusion

A

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

21
Q

Diaphragmatic tear

A

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

22
Q

Herna

A

Organs or where they’re not supposed to be

23
Q

Signs and symptoms of a diaphragm tear

A

Bowel sounds in the thorax

24
Q

Do you take spinal motion restriction with isolated, penetrating, trama trauma

A

No

25
Q

Where are the three places you see JVD

A

Right heart failure
Tension pnemo lung sounds
Pericardial tamp no lung sounds

26
Q

Pericardial tamponade

A

Sac around the heart becomes filled with blood paraicaral sac
plus paradoxis each breath in the past disappears

27
Q

Becks triad

A

Lower bp
Jvd
Muffed heart sounds

28
Q

Pulses paradoxus

A

Each breath in Pulse is disappear put more pressure on the ballon around the heart

29
Q

Pulses pressure

A

pulse pressure is where your pulse pressure is 1/4 or less of your systolic pressure

30
Q

Paradoxical motion

A

The chest rises opposite to what it should while breathing in and out