Mod D Tech 7 Chest Injuries Flashcards Preview

Technician Course MOD D 2016 > Mod D Tech 7 Chest Injuries > Flashcards

Flashcards in Mod D Tech 7 Chest Injuries Deck (20):
1

Thoracic Trauma Types

There are two types of Chest injuries :– Open Closed May be Penetrating or Blunt, all can be life threatening

2

Signs and Symptoms

Dyspnoea Panic

 Anxiety Cyanosis

Pain normally at site of injury

Tachycardia

Tachypnoea

Asymmetry of chest wall

3

General management Assess the chest and neck for

Tracheal deviation

Wounds, bruising or swelling

Emphysema (surgical / subcutaneous) – (can cause swelling to

Laryngeal crepitus chest wall, neck & face)

Venous engorgement

Excluding open/tension pneumothorax, flail segment, massive haemothorax

4

General Management

Catastrophic Bleeding, Airway, Breathing, Circulation, Disability Administer a high concentration of oxygen (all trauma pt’s benefit from high flow Oxygen) Consider assisted ventilations (<10 or >30?) Seal any wounds Position patient – how? Percussion and Auscultation of Chest Rapid smooth transport to hospital Pre alert

5

Thoracic trauma‘The Deadly Dozen’

Rib fractures/ flail chest/ Pulmonary contusion

Pneumothorax/ Tension/ Haemothorax

Myocardial contusion/ Tamponade

Ruptured Aorta/ Diaphragm/Trachea

Traumatic Asphyxiation.

6

Management of Flail Chest

Ensure adequate airway

100% oxygen

Load & Go

Do not stabilize flail segment (Maintenance of ventilation is priority)

Monitor ECG

Alert Hospital

7

Management of open pneumothorax

Ensure adequate airway

100% oxygen

Seal open wound Load & Go

ATMIST Hospital

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8

Spontaneous Pneumothorax

More common in young men (Tall, thin, late teens) Air leaks from a spontaneous rupture of an alveolus/ alveoli Air slowly builds in the pleural cavity

9

Tension Pneumothorax

sign and symptoms

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10

Management of Tension Pneumothorax

Ensure adequate airway and ventilation

100% oxygen

Paramedic Assistance - Needle decompression

Load & Go

ATMIST Pre-alert Hospital

11

Massive Haemothorax

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12

Management of haemothorax

Ensure adequate airway and ventilation

100% oxygen Load & Go

Paramedic interventions

ATMIST pre-alert hospital

Observe for development of Tension Haemopneumothorax

13

Myocardial contusion causes

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14

Cardiac tamponade Blood leaks into pericardial sac; pressure builds and prevents the heart from refilling to pump blood into circulation.

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15

Beck’s Triad (assoc. with Cardiac Tamponade)

Hypotension

Jugular Vein Distension

Muffled Heart Sounds

16

Management of Cardiac Tamponade

Ensure adequate airway &; ventilation

100% oxygen

Load &amp;

Go Monitor ECG

ATMIST pre-alert hospital

17

Traumatic Asphyxiation

Traumatic asphyxia, or Perte's syndrome, is a medical emergency caused by an intense compression of the thoracic cavity, causing venous back-flow

18

Pulmonary contusion

Blunt or Penetrating Trauma Capillary bleeding Reduced diffusion of O2 in the alveoli Respiratory Failure can develop within the first 8 – 24 hours Associated with flail chest.

19

Management of impaled objects

Ensure adequate airway & ventilation

100% oxygen

Stabilize object Do not remove!

Load & Go -

ATMIST

Watch for development of tension pneumothorax or haemothorax

20

Management of Thoracic trauma -Recap

Dangers / Mechanism of Injury / C Spine ?? Catastrophic bleeding Airway &amp; Breathing Assessment (look / listen / feel) O2 therapy (high %) Consider Paramedic intervention e.g. chest decompression if appropriate Adequate ventilation (<10, >30bpm) Circulation, stop major bleeding &amp; assess systolic BP Time critical, remove patient to hospital Monitor O2 / ECG / GCS / changes in condition ATMIST pre-alert to relay information to receiving hospital.