lecture 11: thoraic injuries

Question 1

3 main groups in chest cavity

Answer 1

pulmonary
vascular
gi tract

Question 2

where is the scapular

Answer 2

ribs 2-7

spine at t3

Question 3

where is the lung apex

Answer 3

2.5 cm above clav

Question 4

where is the coracoid process

Answer 4

lines up w first rub

Question 5

where is the nipple

Answer 5

level of rib 4

Question 6

where is the heard

Answer 6

level of hibs 2-6

Question 7

what are the most commonly injured ribs

Answer 7

5-10

Question 8

what are the true ribs

Answer 8

1-7

Question 9

what are teh faslse ribs

Answer 9

8-10

Question 10

what are the floating ribs

Answer 10

11-12

Question 11

explain the breathing mecahsism

Answer 11

exhalation: pressure is postive and gases are forced out
inhialtion: oressure in neg so air comes in

Question 12

what nervers supplies diagphram

Answer 12

phrenic nerve (c345)

Question 13

if there is an injury to c3 orn above what happens

Answer 13

cannot breath

Question 14

when diagprah contacts andx relaxewhat happens

Answer 14

chest cavity enlarges reducing pressure (asir rushes in )

then disgaphrm revalxes and pushed out air

Question 15

if thre is an increase in co2 what happens to breathing rate

Answer 15

increase

Question 16

chest injuries that go unrecognized can lead to…

Answer 16

1) tissue hypozia
2) hypercarbia (increase co2)
3) acidosis

Question 17

what is assessment for thoraic injuries

Answer 17

uabcs
secondary assessment (observe, palpate, asuticulate, percussion)
bitals 
treatment
decision

Question 18

what ar some observations to look out for

Answer 18

bruses
cyanosis
vein distensioin
open chest wounds

Question 19

is tracheal deviation an early or late sign

Answer 19

late sign

Question 20

true ro false: trachean should move inferior on inspiration

Answer 20

true

Question 21

when you are palmpating you are looking for

Answer 21

tenderness
deformtity
swelling
crepitus
emphysema

Question 22

what si the respiotry breathing assessment

Answer 22

rate 
deptjh 
rythm 
sounds 
other diagnostic sounds

Question 23

what is the treatment for anything that affects airway exhange and oxygenation

Answer 23

improve oxygenation and transport rapid

Question 24

what is the treatment for a major problem that is blood losss

Answer 24

imporove oxygen
shock
rapid transport

Question 25

whta are some respirtry problems involving blood loss

Answer 25

hemothorax, shear to aorta

Question 26

athletes with mild contusion may RTp after how long

Answer 26

15 minutes

Question 27

what are the conditoons for return to play

Answer 27

vitals normal no pain (refered or interfer) protection no respisration alterantion

Question 28

true or false: respitory distress deveols more rapidly in adults

Answer 28

false in children

Question 29

what are some common throacic injuries

Answer 29

``` pectoralis major ruptur clavicle AC/SC speration rib injuries (fracrures, costchondral sep) sternum pnneumothorz ```

Question 30

what are signs and symtoms of thoracic injuries

Answer 30

``` pain at site pain with braathing crepitus dyspnea hemoptysis (coughing blood) cuanosis rapod weak pulse shllow respons low BP ```

Question 31

what is the MOI rfor pec rupture

Answer 31

direct trauma | excessive load with partial to full failure

Question 32

what atre the SS for ruptured PEC

Answer 32

hemmorage, rupture/disfunction

Question 33

TX for pec major rupture

Answer 33

``` ice sling rest analgesic (surgery might be needed for complete tear) ```

Question 34

what is the most common fractured part of the thoriax

Answer 34

clav

Question 35

wwhat is the MOI for clavic

Answer 35

FOOSh | lateral shoulder impart

Question 36

what are the SS for clav

Answer 36

distal third common | easilty palp deformity

Question 37

what is the treatment for clv fractiure

Answer 37

immobilize | tubular sling, acillary roll, swatche, ice xray

Question 38

wjat is the MOI for SC joint

Answer 38

direct'indirect impact | bilarteral compression of shoulders

Question 39

SS of SC joint sepration

Answer 39

tendor to pal pain w ROM visible defromtity breathing issues

Question 40

if there is onyl mild sepetaoru, what is treatment

Answer 40

immobilize pier refer

Question 41

if severe seperation

Answer 41

ice 911 o2

Question 42

why is xrrays important for clav sepration

Answer 42

able to see if its pushing on structures

Question 43

what is costochondral sepratior

Answer 43

discontinution between rib and sternal attachment

Question 44

will you hear a pop for costchondral sepration

Answer 44

yes

Question 45

what is the MOI of chostochondral sepration

Answer 45

direct trauma | lateral fall on thorax (rib anterio)

Question 46

what are the SS for chostochondral sepration

Answer 46

pain on pal[ and inspritation sjhallow breathing derfomrinty giarding

Question 47

what is the treaatament for chrostchondra

Answer 47

calm, ice, refferal, sling spring etc

Question 48

whata is the MOI for rib fracatuer

Answer 48

firect truama

Question 49

true or false: ribs fractures to 1-4 are very common

Answer 49

false

Question 50

why are rib favtures from 8-12 caution

Answer 50

because at the level of the spleen liver and kidneys

Question 51

true or false: floating ribs are commonly injured

Answer 51

false

Question 52

what are the SS for a rib fracture

Answer 52

``` locaal tendernus sharp [ain crep shallow rbeaths coughing blood flail chest ```

Question 53

what is rib fracture treamtment

Answer 53

shock, respirtory effort, manual supper ref xray and ref

Question 54

what is support for ribs thorax

Answer 54

triagnualr badage inside folded towel | apply around affected around and add tubular sling for supprt of arm

Question 55

what is flail chest

Answer 55

2 or more fractured ribs in 2 or more planes

Question 56

MOI for flair chest

Answer 56

firect trauma,crush

Question 57

what is paradoxial breathin

Answer 57

inspiration=contrcts | exhalation'expands

Question 58

what are the SS for flail cehst

Answer 58

flail, sharp pain. tenderness crep pain with inhalation paradoxial breathing

Question 59

what is flail chest treatment

Answer 59

911 respitory suppert with bvm o2 support flair woth bnressing

Question 60

tue ro false: sternum fracure is more serious tha nthe damage to inderneath

Answer 60

false

Question 61

what is MOI for sternum

Answer 61

dircet trauma from fall impact decleipation

Question 62

what are SS for sternum

Answer 62

pain on pal crep swelling marfan

Question 63

what is pneumothorax

Answer 63

air in chest cavity, outside of lungs

Question 64

what are the 2 types of pneumothorax

Answer 64

open aand closed

Question 65

what is the MOI for pneumothroax

Answer 65

penetraating injruies

Question 66

what is another name for open pneumo

Answer 66

sucking chest wound

Question 67

what is the tramtent for sucking chest wound

Answer 67

non occulsive cause on the hole

Question 68

what can be used instead of non occulsive dressing

Answer 68

chest seal

Question 69

what is another name for clsoed pneumothroax

Answer 69

tension

Question 70

what is tension pneu

Answer 70

further pressure build up since air cannot espace

Question 71

what can tension pneuthorax lead to

Answer 71

more pressure eventually affect unijured long TRACHEAL DEV

Question 72

true or false: trachel deviation is an early sign

Answer 72

false