Disorders if respi tract caused by trauma

Question 1

pediatric deaths are from

Answer 1

hemorrhagic shock

Question 2

cardiopulmonary arrest from

Answer 2

tension pneumothorax
or cardiac tamponade

Question 3

A very common finding in pediatric trauma which can seriously affect pulmonary reserve

Answer 3

Massive gastric distention

Question 4

may be the only compensatory mechanism in hypovolemic shock in children

Answer 4

tachycardia

Question 5

very late sign just before cardiac arrest

Answer 5

hypotension

Question 6

It is the most common injury in children with sternal fracture

Answer 6

Isolated
anterior cortical fracture

Question 7

why is px with sternal fracture needs icu admission

Answer 7

risk of arrhythmia

Question 8

Diagnostic of non accidental trauma

Answer 8

multiple fracture of the middle ribs

Question 9

most important indication for tracheostomy

Answer 9

prolonged intubation

Question 10

Chest tube insertion indications

Answer 10

tension pneumothorax
simple ptx with shock/distress

Question 11

Mechanism of Open pneumothorax
during inspiration

Answer 11

Collapses ipsilateral lung
alveolar air to the opposite side

Question 12

What completes the diagnosis of open pneumothorax

Answer 12

ineffective cough

Question 13

diagnosis of open ptx

Answer 13

Inspection

peculiar sound of air rushing in and coming out of the wound

Question 14

emergency management of open ptx

Answer 14

occlusion if chest wall defect sealed on 3 sides

ctt

Question 15

most common sequel of thoracic trauma

Answer 15

hemothorax

Question 16

how many percent of blood volume can accumulate in the chest of a child

Answer 16

40%

Question 17

diagnosis of hemothorax confirmed by

Answer 17

thoracentesis

Question 18

indication for thoracotomy in hemothorax

Answer 18

if it exceeds more than 1 ml per kilo per minute

hemodynamic instability

Question 19

rare indication to clam a thoracostomy tube in tracheobronchial injury

Answer 19

tb transection with massive air leak

Question 20

this chest wall injury presents with incessant non productive cough, wheezing, audible rattling, rales

Answer 20

wet lung syndrome or post traumatic atelectasis

Question 21

complication if wet syndrome

Answer 21

ards
mort rate 22-35%

Question 22

why is left diaphragm more prone to rupture

Answer 22

liver
inreased stregth
weakness of points of embryonic fusion

Question 23

Diagnostics

Answer 23

Chest xray abnormal diaphragmatic contour, ngt into the chest

Contrast swallow if Gastrografin or thin barrium