Chapter 27: Chest Injuries Flashcards Preview

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Flashcards in Chapter 27: Chest Injuries Deck (35):
1

__________ is the exchange of air in the lung tissue.

respiration

2

How many lobes does the right lung have?

3

3

What is tachypnea?

rapid breathing

4

What is the normal breathing rate for an adult?

12-20 breaths per min

5

________ is the coughing up of blood.

hemoptysis

6

What type of dressing should you apply to an open chest wound?

occlusive dressing

7

What should the EMT use to stabilize a flail chest?
-a small pillow
-a towel
-a large bulky dressing
-all of the above

all of the above

8

When blood or fluid collect inside the sac around the heart, it is called:

pericardial tamponade

9

A spontaneous pneumothorax is caused by:

weak areas in the lungs

10

Blood in the pleural space is called a:

hemothorax

11

he most obvious sign of flail chest is/are:

paradoxical motion

12

_________ should always be suspected in patients with a flail chest.

pulmonary contusion

13

Which of the following interventions is appropriate for all chest injuries?
-Apply an occlusive dressing.
-Provide positive pressure ventilations with 100% oxygen.
-Apply oxygen via nonrebreathing mask at 15 L/min.
-Immobilize the patient on a long backboard.

-Apply oxygen via nonrebreathing mask at 15 L/min.

14

Which of the following interventions is appropriate for all chest injuries?
-Apply an occlusive dressing.
-Provide positive pressure ventilations with 100% oxygen.
-Apply oxygen via nonrebreathing mask at 15 L/min.
-Immobilize the patient on a long backboard.

-Apply oxygen via nonrebreathing mask at 15 L/min.

15

A ______ has the potential to penetrate the lung and diaphragm and injure the liver or stomach.

penetrating chest injury

16

____ are often the result of blunt force trauma

Closed chest injuries

17

_____ are the result of some object penetrating the skin and/or chest wall.

open chest injuries

18

____ may result in fractures to the ribs and the sternum.

Blunt trauma

19

A penetrating injury that creates a hole in the chest wall is called an ______ or a ______

open pneumothorax or sucking chest wound.

20

A ______ may be the result of rupture of a weak spot on the lung, allowing air to enter the pleural space and accumulate.

spontaneous pneumothorax

21

A _____ is a result of blunt trauma resulting in fractured ribs.

simple pneumothorax

22

A pneumothorax may progress to a _______ and cause cardiac arrest.

tension pneumothorax

23

_____ is the result of blood accumulating in the pleural space

Hemothorax

24

A ______ is the presence of air and blood in the pleural space.

hemopneumothorax

25

A _____ (two or more ribs broken in two or more places) should be immobilized with a large bulky dressing.

flail chest segment

26

All patients with chest injuries should receive ____ or _____

high-flow oxygen or ventilation with a bag-mask device

27

_____ which is bruising of or injury to lung tissue after traumatic injury, may interfere with oxygen exchange in the lung tissue.

Pulmonary contusion,

28

_____ is sudden, severe compression of the chest.

Traumatic asphyxia

29

_____ describes bruising of the heart muscle.

Myocardial contusion

30

The central part of the chest containing the heart and great vessels is the....

mediastinum

31

What occurs during the process of inhalation?

diaphragm and intercostals contract

32

What are three lethal chest injuries that are identified during the secondary assessment?

Thoracic aortic dissection, myocardial contusion, and pulmonary contusion

33

What are considerations in chest trauma for the elderly?

Fragile bones, respiratory compromise, lower mechanism of injury for serious problems

34

What are considerations in chest trauma for children?

Flexible rib cage, less protection than an adult, more likelihood of organ injury, little understanding of consequences in trauma

35

When caring for a patient with signs of a pneumothorax, your MOST immediate concern should be:

ventilatory inadequacy.