trauma Flashcards
Where is a pluerocentisis performed
midclavicular–3rd intercostal space
where is chest tube put in
mid axillary–4th intercostal space
where will you hear heart sounds for a tensionpneumo in the left space
on the right side bc its pushing the heart over
s/s of pericardial tamponade
dyspnea, cyanosis, pulsus paradox, narrow pulse pressure, increases CVP
becks triad–decreased BP, muffled heart tones, jugular venous distension
chest xray of pericardial tamponade will look like
water bottle
common arrythmia of pericradial tamponade
PEA
tx of pericardial tamponade
pericardialcentisis, pericardial window, chest tube, emergent sternal opening
s/s of tension pneumo
dyspnea, hypotension, tracheal deviation
flail chest
paridoxical chest wall movement caused by free floating rips
s/s of flail chest
crepitus, dyspnea, cyanosis, pain
tx of flail chest
pain meds, o2, maybe intubation
grey turner sign
bruising of umblicious and flank area–beware of kidney injury
bladder pressure levels
normal 0-5,elevated 5-10, intrabdominal HTN 10-20, anything over 20 is compartment syndrome
kehrs sign-
referred shoulder pain–seen in spleen injury
CT of pulmonary emboli looks like
patchy ground glass
