Test 2 Trauma : Thoracic Trauma

Question 1

Thoracic Trauma Physiologic Consequences :

Answer 1

• Hypoxia, Hypercarbia, & Acidosis
• **Hypoxia Most serious consequences **

Question 2

Live-Threatening Thoracic Injuries

Answer 2

• Manage Airway Control
• Decompression of chest

Question 3

Primary Survey of Thoracic Injuries

Answer 3

**Begins with airway **
* Recognize & address any other major injuries affecting airway
* Airway obstruction due to swelling, bleeding, or vomitus
* Laryngeal injury (can lead to obstruction lead to life threatening injury)
* Posterior dislocation of clavicular head
* Penetrating trauma involving neck or chest
* Look for any evidence of air hunger (muscles retraction )
Inspect oropharynx for foreign body obstruction
* Listen for air movement (nose, mouth, lungs)
Any evidence of partial upper airway obstruction (stridor)
* Palpate for any crepitus
* Cyanosis is a late sign of hypoxia trauma patients (difficult to see dark skin)

Question 4

Tracheobronchial Tree Injury

Answer 4

• Injury to trachea or major bronchus
• Unusual but potentially fatal
• Majority die at scene
• High Mortality
• Occurs within 1 inch (2.54 cm) of caarian
• Inadequate airway
• Development of tension Pneumothorax or tension Pneumopericadium
  **FAtal condition at sean