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Trauma > Chest Trauma > Flashcards

Chest Trauma Flashcards

1
Q

Signs of diaphragm injury

A

Air-fluid level on CXR (stomach herniation)

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2
Q

Signs of aortic transection

A 
Wide mediastinum
1st or 2nd rib fractures
Trachea deviation to right
Left hemothorax
(Tear at ligamentum arteriosum)

Order CT Angio - Chest

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3
Q

Flail Chest

A

2 or more consecutive ribs broken at 2 or more sites

Paradoxical motion

Underlying pulmonary contusion

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4
Q

Penetrating chest wound inside “box”

A

Box = clavicles to nipples to xiphoid

Pericardial window
Bronchoscopy
Esophagoscopy
Barium swallow

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5
Q

Traumatic causes of cardiogenic shock

A

Cardiac tamponade
Cardiac contusion
Tension pneumo

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6
Q

Beck’s triad for tension pneumo

A

Distended neck veins (JVD)
Distance heart sounds
Hypotension

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7
Q

Indications for thoracotomy in patient with chest tube

A

> 1500 cc after initial insertion
250 cc/hr for 3 hours
2500 cc/24hr

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Trauma (6 decks)

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