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TRAUMA > Thoracic Trauma > Flashcards

Thoracic Trauma Flashcards

1
Q

What is the biggest concern with chest contusions?

A

Hypoventilation

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2
Q

What are some signs and symptoms of chest wall injuries?

A

Erythma, ecchymosis, Dyspnea, pain on breathing, limited breath sounds, crepitus, and paradoxical chest wall motion

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3
Q

What is the most common result of blunt injury?

A

Contusion

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4
Q

What can restore tidal volume with a flail chest?

A

Positive pressure ventilation

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5
Q

What is a simple pneumothorax?

A

Occurs when lung tissue is disrupted and air leaks into the pleural space

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6
Q

What is atelectasis?

A

Alveoli collapse

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7
Q

Which pulmonary injury has no associated mediastinal shift?

A

Simple (closed) pneumothorax

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8
Q

Diminished breath sounds are seen with what pulmonary injury?

A

Simple pneumothorax

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9
Q

Cardiovascular compromise is seen with which pneumothorax?

A

Tension

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10
Q

What occurs in an open pneumothorax?

A

Free passage of air between atmosphere and pleural space

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11
Q

In an open pneumothorax, air will be drawn through a ending wound is _____ diameter of the trachea or larger.

A

2/3

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12
Q

Frothy blood is seen with which pneumothorax?

A

Open pneumothorax

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13
Q

Why do tension pneumothorax occur?

A

The mechanism of injury forms a one-way valve

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14
Q

Each side of thorax may hold up to ______ of blood.

A

3,000 ml

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15
Q

Flat neck veins are seen with?

A

Hemothorax

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16
Q

Percussion of a Hemothorax presents as?

A

Dull

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17
Q

JVD is seen with which type of pneumothorax?

A

Tension

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18
Q

Mediastinum and tracheal shift is seen with which type of pneumothorax?

A

Tension pneumothorax

19
Q

Which pneumothorax is fixed with decompression?

A

Tension pneumothorax

20
Q

Faint or absent breath sounds are heard with which pneumothorax?

A

Tension

21
Q

Where is pleural decompression performed?

A

2nd intercostal space in mid-clavicular line top of third rib

22
Q

Heart rate in a tension pneumothorax ____.

A

Increases

23
Q

A catheter for needle decompression should be how long?

A

2-3 inches

24
Q

What gauge catheter is used for a needle decompression?

A

14GA

25
Q

What is the pain associated with myocardial contusions?

A

A “thumped” type of pain

26
Q

What should not be given to a myocardial contusion?

A

Nitro

27
Q

Why shouldn’t nitro be given for a myocardial contusion?

A

Could increase bleed of contusion

28
Q

Agitation, tachycardia, diaphoresis, and ashen appearance is seen with?

A

Pericardial tamponade

29
Q

What is Becks Triad indicative of?

A

Pericardial tamponade

30
Q

What is Becks triad?

A

JVD, distant heart tones, and hypotension

31
Q

What is kussmauls sign?

A

The decrease or absence of JVD during inspiration

32
Q

What is kussmauls sign indicative of?

A

Pericardial tamponade

33
Q

What is pulsus Paradoxus?

A

A drop in systolic blood pressure of greater than 10 mmHg

34
Q

Where do dissecting aneurysms most commonly occur?

A

Descending aorta

35
Q

The patients with aortic ruptures will be severely ____.

A

Hypotensive

36
Q

Aortic aneurysms are commonly seen with what type of impact?

A

Lateral

37
Q

Shear tearing pain with radiation to back is commonly seen with?

A

Aortic aneurysm

38
Q

In aortic aneurysms, pulse may be?

A

Different between left and right upper extremities or reduced in lower extremities

39
Q

In aortic aneurysms, blood pressure may be?

A

Increased

40
Q

With which injury will the abdomen appear hollow and bowel sounds be noted in one side of the thorax?

A

Diaphragmatic rupture

41
Q

PEA is seen with which thoracic trauma?

A

Pericardial tamponade

42
Q

Rupture or perforation of the diaphragm occur commonly on which side?

A

Left side

43
Q

What does traumatic asphyxia cause?

A

Backwards flow of blood from right side of heart into superior vena cava and the upper extremities

44
Q

JVD, blue/purple appearance, bulging eyes are seen with?

A

Traumatic asphyxia

TRAUMA (11 decks)

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