TCC Respirations

Question 1

BSI

Answer 1

for my buddy and I

Question 2

2. Expose the chest/torso

Answer 2

3. Manual and visual sweep for penetrating chest wounds

Question 3

4. Treat all penetrating chest wounds on anterior of the patient

Answer 3

chest seal
a	Use gauze to clean around the wound
b.	Adhere during exhalation putting 
1.	Vented: put vent over wound 
2.	Unvented: ensure extends2” beyond wound on all sides 
c.	Reassess intervention

Question 4

5. Log roll the patient and treat exit wounds

Answer 4

a. Use chest seals on the back the same way

Question 5

6. Monitor for s/s of tension pneumo

Answer 5

a. Severe/progressive respiratory distress
b. Severe/progressive tachypnea
c. Absent breath sounds on chest
d. Pulx ox <90%
e. Traumatic cardiac arrest w/o fatal wounds

Question 6

7. Treat tension pneumo

Answer 6

A. Burp chest seal

B. Needle D

Question 7

A. Burp chest seal

Answer 7

i. Peel back seal,
ii. Wipe blood/clots
iii. Reapply on expiration

Question 8

b. Needle D

Answer 8

i. 2nd ICS mid clavicular line over the 3rd rib (OR) 5th ICS on anterior axillary line directly over 6th rib
ii. Choose needle 10-14ga 3¼ ”
iii. Insert over top of rib at 90 degree (to chest wall) and LEAVE NEEDLE in x 10 SEC
iv. Remove needle – leave catheter
v. Secure hub to chest