Deadly Dozen

Question 1

Primary Deadly Dozen

Answer 1

Airway Obstruction 
Flail Chest 
Open Pneumothorax
Massive Hemothorax
Tension Pneumothorax 
Cardia Tamponade

Question 2

Secondary Deadly Dozen

Answer 2

Myocardial Contusion
Traumatic Aortic Rupture
Trachial or Bronchial Tree Injury 
Diaphragmatic Tears 
Pulmonary Contusion 
Blast Injury

Question 3

Cause of common death with Airway Obstruction

Answer 3

Secondary Hypoxia

Question 4

Does penetrating chest trauma require SMR if it is not invading the spine?

Answer 4

No

Question 5

Treatments for Flail Chest

Answer 5

Assist ventilation
Stabilize the flail segment
Load & go

Question 6

Things to watch for with Flail Chest

Answer 6

Pulmonary Contusion
Hemothorax
Pneumothorax
Open Pneumothorax

Question 7

Signs and symptoms of massive Hemothorax

Answer 7

Anxiety
Confusion
Breath sounds decreased & dull
Shock

Question 8

Signs and Symptoms of Tension Pneumothorax

Answer 8

Dyspnea 
Anxiety 
Tachypnea
JVD 
Tracheal Deviation
Breath Sounds diminished & hyperresonant
Hyoptension

Question 9

Signs and Symptoms of Cardiac Tamponade

Answer 9

Becks triad
(Hypotension,JVD, muffled heart sounds)
Paradoxical Pulse

Question 10

Signs and Symptoms Myocardial Contusion

Answer 10

Same as MI

1. Chest Pain
2. Dysrhythmias
3. Cardiogenic shock

can only be diagnosed with an EKG

Question 11

Treatments of Traumatic Aortic Rupture

Answer 11

None

Load&go but high chance of death (80%)

Question 12

Signs and Symptoms of Tracheal or Bronchial tree Injury

Answer 12

Subcutaneous Emphysema (chest, face, neck)

Question 13

MOI for Diaphragmatic Tears

Answer 13

Severe blow to the abdomen

Question 14

Degrees of Blast Injuries

Answer 14

Primary (initial air blast)
Secondary (material propelled)
Tertiary (impact on object)
Quaternary (dispersed hazardous materials)