Other chest injuries + Pelvic injuries

Question 1

Pulmonary Contusion;

Blood in the ? space, usually due to ? trauma.
Characterised by worsening ? over 24 hours as the ? spreads.
It can be seen as ? ? ? on CXR

Answer 1

alveolar
blunt
hypoxia
bleeding
diffuse alveolar shadowing

Question 2

Aortic Disruption;

Can occur as a result of severe ?-? injury.
Presents as per ? aortic ?.
Fatal unless ? ? develops in the mediastinum

Answer 2

acc-decel
ruptured dissection
false aneurysm

Question 3

Myocardial contusion;

? of the myocardium, usually occurs with ? wheels injuries or ? fractures.
May appear similar to ? on ECG
Treatment is ?

Answer 3

bruising
steering
sternal
MI
conservative

Question 4

Tetanus prophylaxis for open wounds;

Clean minor wounds
o Tetanus ? required if uncertain ? history, or >? years since last dose.

All other wounds.
o Including those with any ?, ?, missile wounds.
• Give tetanus booster unless has one in last ? years.

Answer 4

booster
vacc
10
contamination
burns
5

Question 5

Pelvic injuries

Pelvic disruption is a high force injury, thus often ass w visceral and vascular injuries;
o ?, ? and ? trauma
o ? arteries/ ? vein injuries cause massive haemorrhage.

? bimanual ? of the iliac wings ? produce pain.

?? XR will show 90% of injuries.

Answer 5

bladder
rectal
urethral
iliac
retroperitoneal
gentle
compression
wings
AP

Question 6

Pelvic injuries

Mx
Initially use a pelvic ? (or ?) if the patient is unstable
? can determine the site of the bleed.
? management is often required.

Answer 6

splint
bedsheet
arteriography
surgical