Chest Trauma Flashcards

Learn the different interventions and causes of Chest Trauma

1
Q

List the 3 portions of the Sternum

A
  • Manubrium
  • Sternal Body
  • Xiphoid Process
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2
Q

How many ribs are present in a typical human

A

12

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3
Q

What is the junction between the Sternal Body and the Manubrium?

A

Angle of Louis

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4
Q

Fill in the Blank

The muscle between each rib is called the ________ space

A

Intercostal

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5
Q

What runs on the bottom of each rib

A
  • Nerves
  • Veins
  • Arteries
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6
Q

What organs/tissues are contained within the Mediastinum?

A
  • Heart
  • Great Vessels
  • Esophagus
  • Trachea
  • Mainstem Bronchi
  • Vagus and Phrenic Nerve
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6
Q

List

Assessment findings to look for when palpating the chest

A
  • Crepitus
  • Subcutaneous Emphysema
  • Edema
  • Tracheal Position
  • Tenderness
  • Deformities
  • Bony Instability
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7
Q

What does Jugular Venous Distention suggest clinically

A

Increased intravenous pressure

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8
Q

Causes of

Jugular Venous Distention

A
  • Tension Pneumo
  • Volume Overload
  • Right-sided Heart Failure
  • Cardiac Tamponade
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9
Q

What is

Flail Chest

A

Two or more adjacent ribs fractured in

Two or more sections

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10
Q

What type of chest movement is found in a Flail Chest

A

Paradoxical Movement

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11
Q

Treatment

Flail Chest

A

Positive Pressure Ventilation

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12
Q

What is

Tension Pneumothorax

A

Accumulation of air within the pleural cavity, causing decreased preload and intrathoracic pressure

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13
Q

Signs/Symptoms

Pneumothorax

A
  • Pulsus Paradoxus
  • JVD
  • Progressive Respiratory Distress
  • Unequal Chest Wall Movement
  • Decreased unilateral lung sounds
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14
Q

Treatment

Tension Pneumothorax

A
  • Needle Chest Decompression (14GA)
  • Cover wound with dressing secured on 3 sides
  • Oxygen
  • Repeat Needles
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15
Q

List

Locations for Needle Decompression

A
  • 2nd ICS Mid-Clavicular
  • 4-5th ICS Mid-Axillary
16
Q

What is

Hemothorax

A

Accumulation of blood within the Pleural Cavity

17
Q

What is

Cardiac Tamponade

A

Fluid accumulation within the pericardial sac

18
Q

Signs/Symptoms

Pericardial Tamponade

A
  • Beck’s Triad
  • Electrical Alternans
  • AMS
19
Q

Define

Beck’s Triad

A
  • Hypotension
  • Muffled Heart Tones
  • JVD
20
Q

Treatment

Cardiac Tamponade

A

Pericardiocentesis

21
Q

What is

Commotio Cordis

A

Direct blow to the chest during the heart’s absolute repolarization period

22
Q

What is

Aortic Dissection

A

Rupture of the aorta

23
Q

What types of traumas are likely to cause Aortic Dissection?

A
  • High Speed Collision
  • Falls
24
Q

Signs/Symtpoms

Aortic Dissection

A
  • Altering BP in each arm
  • Hypotension
  • Shock
25
Q

What happens during a Diaphragmatic Injury?

A

Rupture of bowels into the thoracic cavity

26
Q

Treatment

Impaled Object in Chest

A

Leave it in place UNLESS in impedes CPR