Chest wall trauma Flashcards
1
Q
Indications for a thoracotomy
A
> 1500cc of drainage
>= 250cc/hr x 4h
2
Q
retained hemothorax can lead to
A
empyema
fibrothorax
3
Q
what is beck’s triad - pericardial tamponade
A
hypotension
muffled heart sounds
elevated JVP
4
Q
what is pulsus paradoxus
A
accentuated drop in SBP on inspiration
5
Q
How do you confirm someone has a pericardial tamponade?
A
Ultrasound
6
Q
Tx pericardial tamponade
A
1) Sternotomy
2) thoracotomy if emergent and BP low
3) Pericardiocentesis
7
Q
Classic location for a traumatic aortic injury
A
descending aorta - ligamentum arteriosum
8
Q
other than descending injury what can cause an aortic injury
A
lateral impact
sudden increased in BP
thoracic compression
9
Q
what % of patients with a TAI do not have a wide mediastinum
A
10%
10
Q
TAI Tx
A
stents!
endovascular
delay until pt is stable
