Trauma Emergencies (BJM, Chest Trauma) Flashcards
It refers to the collection of blood in the pleural space as a result of a penetrating or blunt chest trauma
Hemothorax
Strain is usually caused by _____ or _____
overexertion; overextension
A break in the integrity of a bone
Fracture
It refers to the presence of air in the pleural space occurring simultaneously or from trauma
Pneumothorax
Intermittent fluctuation and continuous bubbling are normal in a CTT.
False; continuous fluctuation and intermittent bubbling
In chest trauma, pneumothorax is usually a result from a laceration in the __________
lung parenchyma
It is the insertion of a tube into the pleural space to evacuate air or fluid. It has a one way, two way, and three way bottle systems.
Chest Thoracotomy Tube Insertion
Mark the original fluid level, this serves as a basis for _________.
blood replacement
The ligaments are partially torn or stretched. It is usually caused by a twisting of a joint beyond its normal range of motion.
Sprains
In monitoring VS after CTT insertion, watch out for _____.
hypotension
Treatment for soft tissue injuries and closed
fractures. PRICE stands for:
P – Protect the injury (stop using the injured limb, pad to protect)
R – Rest the injury
I – Ice; apply a wrapped ice pack
C – Comfortable support; apply a supportive bandage
E – Elevate to reduce swelling
Support the affected body part _____ and _____ the fracture site when transferring.
above; below
True or False: Put the bottle above the patient’s chest.
False; below
It is a complete displacement or separation of a bone from its normal place of articulation
Dislocation
3 classifications of pneumothorax:
- Spontaneous
- Open
- Tension
Joints most frequently affected by dislocation
Shoulder
Elbow
Fingers
Hips
Ankles
These are injuries in the thoracic cavity, it may be blunt or penetrating.
Chest trauma
It refers to the stretching or tearing of
muscles and tendon fibers
Strains
Usual placement of CTT:
Pneumothorax: _____
Hemothorax: _____
2nd-3rd ICS MCL/AAL
6th-7th ICS MAL
True or False: Teach coughing and ROM exercises at the affected arm.
True
Drainage depends on:
gravity
mechanics of respiration
suction
_____ confirms air in the pleural space and
mediastinal shift
X-ray
It is a first aid procedure define as covering a break in the skin
Bandaging
_____ acts as seal and permits air and fluid to drain from the chest and prevents air to move back.
Water
CTT helps in regaining _____ pressure in the lungs by the use of a water seal drainage.
negative
Fractures may be caused by _____ (projectiles, crush injuries) or by _____ (bones being pulled apart or rotational forces
direct trauma; indirect trauma
Continuous bubbling: _________
Fluctuation stops: _________
air leak
tube is dislodged or lung has already reexpanded
Have _____, _____, and _____ at the bedside in case of accidental dislodgement.
clamps, sterile gauze, bottle with NSS
Treatment for soft tissue injuries and closed
fractures. PRICE stands for:
P – Protect the injury (stop using the injured limb, pad to protect)
R – Rest the injury
I – Ice; apply a wrapped ice pack
C – Comfortable support; apply a supportive bandage
E – Elevate to reduce swelling
Aspiration of fluid or air in the pleural cavity
Thoracentesis
Purposes of bandaging:
Help control bleeding
Stabilize the body part
Prevent infection
