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Fieldcraft 1 > Thoracic Tramua > Flashcards

Thoracic Tramua Flashcards

1
Q

What are the bone sets in the thorax?

A

Clavicles, scapula, ribs (10 attached to sternum and 2 floating).

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2
Q

What are the organs of the thorax?

A

Heart, trachea, bronchi, lungs, mediastinum (cavity between lungs), major blood vessels.

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3
Q

What is the visceral pleura?

A

Membrane attached to surface of lung.

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4
Q

What is the parietal pleura?

A

Membrane attached to surface of chest wall.

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5
Q

What is pleural fluid?

A

Lubricating fluid between visceral and parietal pleura.

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6
Q

What should be assumed about a wound at the fourth intercostal space?

A

It should be assumed as an abdominal injury as well as a thoracic one.

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7
Q

How much blood can fill on each side for a hemothorax?

A

1.5 liters

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8
Q

What causes a pneumothorax?

A

Penetrating or blunt trauma.

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9
Q

What is a tension pneumothorax?

A

A pneumothorax where air can only get in the pleural space.

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10
Q

What are respiratory signs of a chest injury?

A

Tachypnea, bradypnea, labored breathing, retractions, hemoptysis (coughing blood), short sentences, agitation or air hunger.

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11
Q

What are signs to the skin indicative of a chest injury?

A

Diaphoresis (sweating), pallor, cyanosis.

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12
Q

What are signs to the neck indicative of a chest injury?

A

Trachea deviation, JVD, penetrating wounds.

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13
Q

What sized open wound can present with a sucking sound?

A

2/3 size of trachea.

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14
Q

What should you do if one wound is found?

A

Asses for multiple and exit wounds.

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15
Q

What are the first and second choices for chest seals?

A

First is vented, second is non-vented.

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16
Q

What should be done if respitory distress follows a occlusive dressing?

A

First burp the wound, then try NDC.

17
Q

What position should a casualty unable to position themselves be transported in?

A

Injured side down.

18
Q

What is the definitive treatment for a pneumothorax?

A

Chest tubes

19
Q

How far should an occlusive dressing extend beyond all edges of the wound?

A

At least 2”

20
Q

What is a complete collapse of the lung?

A

A tension pneumothorax.

21
Q

What are signs/symptoms of a tension pneumothorax?

A

Respiratory distress, diminished/absent breathe sounds, anxiety/agitation, tachypnea, hypotension, JVD, decreased lung compliance, tracheal deviation.

22
Q

What kind of intervention is NDC?

A

Temporary

23
Q

How long can NDC be effective for?

A

4 hours

24
Q

What size needle is needed for NDC?

A

10-14 gauge, 3.25 inches long.

25
Q

What are the two sites for NDC?

A

Second intercostal space on the kid-clavicular line, or fifth intercostal space along the axillary line.

Fieldcraft 1 (11 decks)

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