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):

Thoracic Trauma Types

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


Signs and Symptoms

Dyspnoea Panic

 Anxiety Cyanosis

Pain normally at site of injury



Asymmetry of chest wall


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


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


Thoracic trauma‘The Deadly Dozen’

Rib fractures/ flail chest/ Pulmonary contusion

Pneumothorax/ Tension/ Haemothorax

Myocardial contusion/ Tamponade

Ruptured Aorta/ Diaphragm/Trachea

Traumatic Asphyxiation.


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


Management of open pneumothorax

Ensure adequate airway

100% oxygen

Seal open wound Load & Go

ATMIST Hospital

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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


Tension Pneumothorax

sign and symptoms

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Management of Tension Pneumothorax

Ensure adequate airway and ventilation

100% oxygen

Paramedic Assistance - Needle decompression

Load & Go

ATMIST Pre-alert Hospital


Massive Haemothorax

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Management of haemothorax

Ensure adequate airway and ventilation

100% oxygen Load & Go

Paramedic interventions

ATMIST pre-alert hospital

Observe for development of Tension Haemopneumothorax


Myocardial contusion causes

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

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Beck’s Triad (assoc. with Cardiac Tamponade)


Jugular Vein Distension

Muffled Heart Sounds


Management of Cardiac Tamponade

Ensure adequate airway &; ventilation

100% oxygen

Load &amp;

Go Monitor ECG

ATMIST pre-alert hospital


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


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.


Management of impaled objects

Ensure adequate airway & ventilation

100% oxygen

Stabilize object Do not remove!

Load & Go -


Watch for development of tension pneumothorax or haemothorax


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.